| NPI | 1205181724 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-07-20 |
| Last Updated | 2025-01-07 |
| Mailing Address | 201 Oak Dr S Ste 102 Lake Jackson, TX 77566-5626 United States Phone: (979) 266-9776 | Fax: (850) 220-1523 📍 View Map |
| Primary Practice Address | 201 Oak Dr S Ste 102 Lake Jackson, TX 77566-5626 United States Phone: (979) 266-9776 | Fax: (850) 220-1523 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2084P0800X – Psychiatry & Neurology, Psychiatry | TX | S1672 |
| Yes | 2084P0800X – Psychiatry & Neurology, Psychiatry | ND | 14085 |
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About NPI 1205181724
Kenneth Oghale Osiezagha MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205181724. The primary specialty listed is Psychiatry & Neurology, Psychiatry. The provider is located in Lake Jackson, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205181724?
NPI 1205181724 belongs to Kenneth Oghale Osiezagha MD, a Psychiatry & Neurology, Psychiatry in Lake Jackson, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205181724 active?
The current status of NPI 1205181724 in the NPPES registry is Active. The record was last updated on 2025-01-07.
What specialty is NPI 1205181724?
NPI 1205181724 is classified under the taxonomy Psychiatry & Neurology, Psychiatry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205181724?
You can verify NPI 1205181724 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205181724?
The primary practice address on file for NPI 1205181724 is 201 Oak Dr S Ste 102, Lake Jackson, TX 77566-5626. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205181724 issued?
NPI 1205181724 was first issued (enumerated) on 2012-07-20. The NPPES record was last updated on 2025-01-07.
Practice Location Map
Kenneth Oghale Osiezagha is located at 201 Oak Dr S Ste 102, Lake Jackson, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kenneth Oghale Osiezagha. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205181724. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | S1672 | TX |
| Psychiatry & Neurology, Psychiatry | 14085 | ND |