Individual
KEN OKADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 E YANDELL DR, SUITE B, EL PASO, TX 79903-3616
(915) 577-0030
(915) 533-2568
Mailing address
PO BOX 220600, EL PASO, TX 79913-2600
(915) 204-2110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0121441
DPS
TX
Enumeration date
08/24/2005
Last updated
03/07/2023
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