MEDICARE: DR. ONYEKACHUKWU OKEKE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	68744	CT
2	2084P0804X	Child & Adolescent Psychiatry Physician	W2339	TX
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255867636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ONYEKACHUKWU OKEKE MD

Provider Business Mailing Address
First Line	:	25145 STAR LN STE 303
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7087
Country	:	US
Telephone Number	:	281-628-0354
Fax Number	:

Provider Business Practice Location Address
First Line	:	25145 STAR LN STE 303
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7087
Country	:	US
Telephone Number	:	281-628-0354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	01/21/2026

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