Provider Demographics
NPI:1538779145
Name:FAMILY CHOICE CLINIC, INC.
Entity type:Organization
Organization Name:FAMILY CHOICE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:281-690-7655
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 260F
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6238
Mailing Address - Country:US
Mailing Address - Phone:281-690-7655
Mailing Address - Fax:
Practice Address - Street 1:12808 W AIRPORT BLVD STE 260F
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6238
Practice Address - Country:US
Practice Address - Phone:281-690-7655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center