Basic Information
| Provider Information | |||||||||
| NPI: | 1255330478 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OKAMMOR | ||||||||
| FirstName: | IHUNNAYA | ||||||||
| MiddleName: | CHIOMA | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | NOSIRI | ||||||||
| OtherFirstName: | IHUNNAYA | ||||||||
| OtherMiddleName: | CHIOMA | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5425 W SPRING CREEK PKWY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725999600 | ||||||||
| FaxNumber: | 9725999696 | ||||||||
| Practice Location | |||||||||
| Address1: | 5425 W SPRING CREEK PKWY | ||||||||
| Address2: | SUITE 175 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750244236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144732200 | ||||||||
| FaxNumber: | 2144732201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 06/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | L0468 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.