Provider Demographics
NPI:1780373530
Name:MORAKINYO, OREOLUWA ENOCH (MD)
Entity type:Individual
Prefix:DR
First Name:OREOLUWA
Middle Name:ENOCH
Last Name:MORAKINYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 650859 DEPT 710
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265
Mailing Address - Country:US
Mailing Address - Phone:409-772-2222
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555
Practice Address - Country:US
Practice Address - Phone:409-772-8031
Practice Address - Fax:409-772-6940
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-12-21
Deactivation Date:2023-12-11
Deactivation Code:
Reactivation Date:2023-12-21
Provider Licenses
StateLicense IDTaxonomies
TXBP100844722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology