Individual
DR. EKENE IFEANYI OKOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5920
TX
208M00000X
Hospitalist Physician
N5920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217717202
—
TX
05
—
217717203
—
TX
05
—
217717204
—
TX
05
—
217717205
—
TX
Enumeration date
07/29/2010
Last updated
05/15/2024
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