PIUS OLISADEBE OKONKWO


Address: 11851 Hideout Trl, Euless, TX 76040-1103
Phone: 2149091405

PIUS OLISADEBE OKONKWO (NPI# 1962903435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962903435
Entity Type Individual
Full Name PIUS OLISADEBE OKONKWO
Practice Address 11851 Hideout Trl
Euless
TX 76040-1103
Practice Telephone 2149091405
Mailing Telephone 2149091405
Enumeration Date 2018-02-21
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SH0200X Clinical Nurse Specialist
Specialization: Home Health
222587 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX DRIVERS LICENSE 22716550 01

Office Location

Street Address 11851 HIDEOUT TRL
City EULESS
State TX
Zip Code 76040-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891295440 Nnenna Irene Okonkwo Licensed Vocational Nurse 11851 Hideout Trl, Euless, TX 76040-1103 2018-02-20

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Taxonomy Information

Taxonomy Code 364SH0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Home Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1710541594 Ijna Nursing Services Clinical Nurse Specialist 13130 Fairacres Way, San Antonio, TX 78233-5144 2019-04-26
1194294645 Healing Bridges Infusion Specialists, Pllc Clinical Nurse Specialist 9950 Westpark Dr Ste 334, Houston, TX 77063-5281 2018-11-14
1265907828 Mary Kathleen Williams Clinical Nurse Specialist 1103 Pagedale Drive, Cedar Park, TX 78613 2018-10-10
1427530120 Linda Jean Scott Clinical Nurse Specialist 18200 Blanco Spgs, San Antonio, TX 78258-4560 2018-08-30
1437637576 Lindy Prisca Mfula Clinical Nurse Specialist 16219 Southampton Dr, Spring, TX 77379-7316 2018-07-31
1649756420 Medical Envision,inc. Clinical Nurse Specialist 5001 Williford Rd, Sachse, TX 75048 2018-07-16
1841784386 Azanette Alaniz Clinical Nurse Specialist 409 Marie St # 409, Houston, TX 77009-8029 2018-06-19
1164923611 Nonye Gerding Guillory Clinical Nurse Specialist 631 Glenhill Ln, Lewisville, TX 75077-2828 2018-02-21
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Competitor

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City EULESS
Zip Code 76040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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