EUCHARIA OKOLO PA-C
NPI 1073930558
Physician Assistant - Surgical in Fort Worth, TX

Q: What is Eucharia Okolo's NPI number?

The NPI number for Eucharia Okolo is 1073930558. It was assigned to this individual provider in the NPPES registry on March 24, 2014. The provider is also known as Eucharia Okolo Pa-C.

Q: What is Eucharia Okolo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Eucharia Okolo was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2014PECOS Enrolled

1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104(817) 250-4280(817) 250-4281 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2018, Jun 29, 2016 (2 updates tracked since 2016).

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About Eucharia Okolo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUCHARIA OKOLO PA-C (NPI 1073930558) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA09018) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073930558

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameEUCHARIA OKOLOCredential: PA-C

Location Address1325 PENNSYLVANIA AVE STE 890Fort Worth, TX 76104-2145

Mailing Address752 N Main St Unit 304Mansfield, TX 76063-3248

Phone(817) 250-4280

Fax(817) 250-4281

Sole ProprietorNo

Enumeration DateMarch 24, 2014

Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1073930558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA09018

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA09018 (TX)

1325 PENNSYLVANIA AVE STE 890, Fort Worth, TX 76104

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Other Names 1

Other Name (5)Eucharia Okolo Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eucharia Okolo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP STEVEN WOESSNER PA-C

Physician Assistant (Surgical)