Individual
DR. OKEZIKA J OKEREKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
1000 N DICK DOWLING ST, SAN BENITO, TX 78586-5222
(956) 399-2920
(956) 399-2940
Mailing address
PO BOX 4680, BROWNSVILLE, TX 78523-4680
(956) 399-2920
(956) 399-2940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K1599
TX
207P00000X
Emergency Medicine Physician
K1599
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K1599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022DK
BLUE CROSS/BLUE SHIELD
TX
05
—
113307602
—
TX
Enumeration date
12/05/2005
Last updated
04/29/2023
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