Individual
MR. CHUCKY OKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13055 SM 3522, ABILENE, TX 79601
(336) 624-5049
Mailing address
1112 MELROSE DR, BURLESON, TX 76028-7100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130178
TX
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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