Individual
ELIZABETH OKONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4854
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U1983
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
U1983
TX
Other
Enumeration date
04/06/2017
Last updated
06/15/2024
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