Individual
DR. CECILIA NNENNA OKAFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1143 S BUCKNER BLVD, STE 144, DALLAS, TX 75217-4304
(214) 398-0398
(214) 398-7200
Mailing address
204 LAURA LN, GRAND PRAIRIE, TX 75052-2803
(214) 398-0398
(214) 398-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146609601
—
TX
01
—
146609602
THSTEP
TX
01
—
2706801
AETNA
TX
01
—
752949110
TAX ID
TX
01
—
H0000006HP
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/05/2006
Last updated
07/08/2007
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