| Dr Ngozi Okoba, MD | |
|
8015 N Expressway 77, Olmito, TX 78575-5171 | |
| (956) 982-4484 | |
| (956) 982-4489 |
| Full Name | Dr Ngozi Okoba |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 12 Years |
| Location | 8015 N Expressway 77, Olmito, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679990360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | S103 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Valley Interventional Nephrology, Pllc | 7517354921 | 8 |
| Access Care Physicians Of Laredo, Pllc | 5698860351 | 8 |
| Rgv Vascular Access Center Pllc | 4789963315 | 5 |
| Entity Name | Dialysis Access Center, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114953783 PECOS PAC ID: 7416059605 Enrollment ID: O20070409000213 |
| Entity Name | Access Care Physicians Of Laredo, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780798835 PECOS PAC ID: 5698860351 Enrollment ID: O20070926001090 |
| Entity Name | Rgv Vascular Access Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205380102 PECOS PAC ID: 4789963315 Enrollment ID: O20161122001106 |
| Entity Name | Upper Valley Dialysis Access Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1932856945 PECOS PAC ID: 9739576943 Enrollment ID: O20220418001172 |
| Entity Name | Upper Valley Interventional Nephrology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184382848 PECOS PAC ID: 7517354921 Enrollment ID: O20220503000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ngozi Okoba, MD Po Box 412880, Boston, MA 02241-2880 Ph: (610) 644-8900 | Dr Ngozi Okoba, MD 8015 N Expressway 77, Olmito, TX 78575-5171 Ph: (956) 982-4484 |