Individual
OFOBUIKE OKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6520 HORIZON CIR, WACO, TX 76712-6985
(254) 755-4460
(254) 755-4469
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J7614
TX
207RX0202X
Medical Oncology Physician
J7614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137651903
—
TX
05
—
137651911
—
TX
01
—
P00930578
RAILROAD MEDICARE
TX
Enumeration date
08/23/2006
Last updated
12/06/2022
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