Provider Demographics
NPI:1841817020
Name:RAJI, TAWAKALITU (PMHNP)
Entity type:Individual
Prefix:MS
First Name:TAWAKALITU
Middle Name:
Last Name:RAJI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10047 SMALL PEBBLE WAY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3060
Mailing Address - Country:US
Mailing Address - Phone:281-886-8595
Mailing Address - Fax:281-884-3616
Practice Address - Street 1:9816 MEMORIAL BLVD STE 207
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4206
Practice Address - Country:US
Practice Address - Phone:281-886-8595
Practice Address - Fax:281-884-3616
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-03
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX767462163WP0808X
TX1020141363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health