Individual
DR. NNALU FELICIA OCHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2727 BOLTON BOONE DR, SUITE 103, DESOTO, TX 75115-2019
(972) 296-7200
(972) 296-7206
Mailing address
2727 BOLTON BOONE DR, SUITE 103, DESOTO, TX 75115-2019
(972) 296-7200
(972) 296-7206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017754
PROVIDER # FOR AMERIGROUP
TX
05
—
171442001
—
TX
01
—
17735
PROVIDER # FOR PARKLAND
TX
01
—
752947854
TAX ID
TX
01
—
8R7200
PROVIDER # BCBS
TX
Enumeration date
08/15/2006
Last updated
07/08/2007
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