MEDICARE: RACHEAL FAITH ISIGUZO

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	363LF0000X	Family Nurse Practitioner	1179051	TX
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1093276271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEAL FAITH ISIGUZO

Provider Business Mailing Address
First Line	:	5614 W GRAND PKWY S STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5820
Country	:	US
Telephone Number	:	832-280-6744
Fax Number	:	346-512-2521

Provider Business Practice Location Address
First Line	:	1620 FM 2218 RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5419
Country	:	US
Telephone Number	:	713-489-9738
Fax Number	:	713-489-9738

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

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	12/04/2025

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Directions to “ RACHEAL FAITH ISIGUZO ” Practice Location

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