Okereke, Phyllis Chizomam

Okereke, Phyllis Chizomam is an individual health care provider with primary practice located at 110 Uptown Avenue Suite A, Brownsville TX 78520-7563. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Okereke, Phyllis Chizomam can be contacted via phone (956) 550-0200.

Contact Information

Primary practice address
110 Uptown Avenue Suite A Brownsville TX 78520-7563
Phone: (956) 550-0200
Fax: (956) 550-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K9375 Texas

Profile Details

NPI number 1598749301
LBN Legal business name Okereke, Phyllis Chizomam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 15th, 2009 - about 17 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 1598749301 NPPES
Texas Other 1760633326-2000 TEXAS DIABETIC COUNSEL
Texas Other 0094EQ TEXAS DIABETIC COUNSEL
Texas MEDICAID 0306821-01 TEXAS DIABETIC COUNSEL

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