Kelly Okpagu, MD
Student in an Organized Health Care Education/Training Program in Longview, TX. Individual provider (NPI-1).
NPI number1003662917
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1003662917
- Entity type
- Individual (NPI-1)
- Name
- Kelly Okpagu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10088602 | TX | Yes |
Practice location
700 E Marshall AveLongview, TX 75601-5580
Phone 903-315-2000
Mailing address
1516 Snow TrlLewisville, TX 75077-7543
Phone 682-273-6510
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All 42 Student in an Organized Health Care Education/Training Program providers in Longview · All 2,907 providers in Longview
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