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Individual

ASHLEY OKOTIE-EBOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1431 STUDEMONT ST STE C2400, HOUSTON, TX 77007-3803
(713) 242-2980
(713) 862-5400
Mailing address
1431 STUDEMONT ST STE C2400, HOUSTON, TX 77007-3803
(713) 242-2980
(713) 862-5400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T8906
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204923281
TAX ID
TX
Enumeration date
04/23/2019
Last updated
09/19/2024
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