Individual
IFEOMA OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-0153
Mailing address
10215 SUNRIDGE TRL, DALLAS, TX 75243-2546
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP140788
TX
Other
Enumeration date
03/13/2019
Last updated
03/14/2019
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