Organization
OKIKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AWA (PRESIDENT/ONWER)
(972) 415-1235
Entity
Organization
Contact information
Practice address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 415-1235
(972) 230-3715
Mailing address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 415-1235
(972) 230-3715
Taxonomy
Speciality
Code
Description
License number
State
331L00000X
Blood Bank
653821
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
653821
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
653821
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
653821
TX
332H00000X
Eyewear Supplier
653821
TX
3336H0001X
Home Infusion Therapy Pharmacy
653821
TX
335E00000X
Prosthetic/Orthotic Supplier
653821
TX
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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