Bob Nnanyereugo Ochulo, MT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

1908 Tennyson Dr
Flower Mound, TX 75028-3744

Phone

(214) 244-3852

Fax

(972) 691-8017

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KBS Home Health Agency Inc

  • Home Health Agency
  • Sachse, TX
  • NPI 1811071509
  NPD Authorized official
• Bob Ochulo

  • Clinical Medical Laboratory
  • Flower Mound, TX
  • NPI 1760500938
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861547077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 TENNYSON DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283744",
            "telephone_number": "214-244-3852",
            "fax_number": "972-691-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 TENNYSON DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283744",
            "telephone_number": "214-244-3852",
            "fax_number": "972-691-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHULO",
        "first_name": "BOB",
        "middle_name": "NNANYEREUGO",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinelo Nwanodu, PHARMD
• Erin O'Brien, LMSW
• Addison O'Neal
• Oaks Counseling and Coaching, LLC
• Uzoamaka Sussan Obiekwe, NP
• Todd P Oczkowski, D.C.
• Odette N Limosnero, MD, PA
• Janet Bowen Ogletree, O.D.
• Nicolle Ohman
• Jennifer Chika Okafor

• Clinical Medical Laboratory in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.