Provider Demographics
NPI:1164393690
Name:IROEGBU, CHIMAOBI VERA
Entity type:Individual
Prefix:DR
First Name:CHIMAOBI
Middle Name:VERA
Last Name:IROEGBU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 BROOKHILL LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-0030
Mailing Address - Country:US
Mailing Address - Phone:405-568-7372
Mailing Address - Fax:
Practice Address - Street 1:3104 BROOKHILL LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-0030
Practice Address - Country:US
Practice Address - Phone:405-568-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1213343363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health