Provider Demographics
NPI:1609592492
Name:OKPUZOR, PRISCILLA
Entity type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:
Last Name:OKPUZOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 KYLE HILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5427
Mailing Address - Country:US
Mailing Address - Phone:832-758-4655
Mailing Address - Fax:
Practice Address - Street 1:23541 WESTHEIMER PKWY STE 130
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3597
Practice Address - Country:US
Practice Address - Phone:713-665-5050
Practice Address - Fax:713-665-5059
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX427111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist