Individual
GODWIN E OKOJIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4801 BRYAN ST, SUITE 500, DALLAS, TX 75204-8300
(214) 515-9646
Mailing address
4101 ROSS AVE, SUITE 500, DALLAS, TX 75204-5138
(214) 515-9646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011499
NY
363A00000X
Physician Assistant
PA 18648
CA
363AM0700X
Medical Physician Assistant
Primary
PA05751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02821332
—
NY
Enumeration date
10/26/2006
Last updated
07/19/2010
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