Individual
BERTRAM OKOROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1037 DEERPASS DR, CHANNELVIEW, TX 77530-3365
(281) 318-8644
Mailing address
1037 DEERPASS DR, CHANNELVIEW, TX 77530-3365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
964293
TX
164X00000X
Licensed Vocational Nurse
233073
TX
Other
Enumeration date
06/07/2016
Last updated
10/17/2020
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