Provider Demographics
NPI:1124824784
Name:ORAKWUE, ROBINSON
Entity type:Individual
Prefix:
First Name:ROBINSON
Middle Name:
Last Name:ORAKWUE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 GILL STAR DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3468
Mailing Address - Country:US
Mailing Address - Phone:657-238-9154
Mailing Address - Fax:
Practice Address - Street 1:1932 GILL STAR DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3468
Practice Address - Country:US
Practice Address - Phone:657-238-9154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2024101754363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health