Provider Demographics
NPI:1538559224
Name:SEMAKULA, ROBERT MOOKA (FNP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MOOKA
Last Name:SEMAKULA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15800 HIGHWAY 3 APT 1317
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-2180
Mailing Address - Country:US
Mailing Address - Phone:240-595-9292
Mailing Address - Fax:
Practice Address - Street 1:4002 GARTH RD STE 160
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3181
Practice Address - Country:US
Practice Address - Phone:281-338-4443
Practice Address - Fax:281-338-8821
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120964363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily