Okonkwo, Pius Olisadebe

Okonkwo, Pius Olisadebe is an individual health care provider with primary practice located at 11851 Hideout Trl , Euless TX 76040-1103. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as his primary health care specialty. Okonkwo, Pius Olisadebe can be contacted via phone (214) 909-1405.

Contact Information

Primary practice address
11851 Hideout Trl Euless TX 76040-1103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X 222587 Texas

Profile Details

NPI number 1962903435
LBN Legal business name Okonkwo, Pius Olisadebe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2018
Last updated Jun 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962903435 NPPES
Texas Other 22716550 DRIVERS LICENSE

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