St Benedicta Healthcare LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

ST BENEDICTA HEALTHCARE LLC

Practice address

1717 Turning Basin Dr Ste 350
Houston, TX 77029-4059

Phone

(832) 344-3715

Fax

(832) 831-8226

NPI assigned

Sep 3, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phyllis Okolo, MDNPI 1568691699

Title

MD

Phone

(832) 344-3715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis I Okolo, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1568691699
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1235807124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 TURNING BASIN DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770294059",
            "telephone_number": "832-344-3715",
            "fax_number": "832-831-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 TURNING BASIN DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770294059",
            "telephone_number": "832-344-3715",
            "fax_number": "832-831-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICTA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "OKOLO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "832-344-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Addiction Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.