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

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: July 19, 2026.

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

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
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

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.

Neurological Surgery
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Physician Assistant
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Psychiatry & Neurology (Neurocritical Care)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Physician Assistant
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073930558, enumerated as an "individual" on March 24, 2014.

The provider is located at 1325 PENNSYLVANIA AVE STE 890 FORT WORTH, TX 76104 and the phone number is (817) 250-4280.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.