Individual provider · NPI-1

Dr. Frank Edoze Okosun Jr., M.D

Internal Medicine · Lake Jackson, TX

NPI number1093027807
StatusActive
Last updated in NPPESDec 6, 2020

Details

NPI
1093027807
Entity type
Individual (NPI-1)
Name
Dr. Frank Edoze Okosun Jr.
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jul 9, 2010
Certification date
Dec 6, 2020
Last updated
Dec 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineP7174TXYes

Practice location

188 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160

Phone 979-266-9776 · Fax 979-529-2952

Mailing address

188 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160

Phone 979-266-9776 · Fax 979-529-2952

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