Individual
ANNETTE O OKPEKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-3124
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L5860
TX
208000000X
Pediatrics Physician
Primary
L5860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126826002
—
TX
Enumeration date
07/14/2005
Last updated
08/26/2025
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