Provider Demographics
NPI:1487882957
Name:OKE, ISAAC OLAGBEMILEKE
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:OLAGBEMILEKE
Last Name:OKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2946 ALOUETTE DR APT 624
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8145
Mailing Address - Country:US
Mailing Address - Phone:817-798-7461
Mailing Address - Fax:972-606-6566
Practice Address - Street 1:2946 ALOUETTE DR APT 624
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8145
Practice Address - Country:US
Practice Address - Phone:817-798-7461
Practice Address - Fax:972-606-6566
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health