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NPI Code Detail

MEDICARE: MARY ISABEL ALEJO AGACNP-BC

MEDICARE:   MARY ISABEL ALEJO  AGACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner1230494TX
2363LC0200XCritical Care Medicine Nurse Practitioner1230494TX

General Provider Information

NPI Number : 1245170406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ISABEL ALEJO AGACNP-BC
Provider Business Mailing Address
First Line : 12735 ARCOLA VALLEY CT
Second Line :
City : HOUSTON
State : TX
Zip : 77044-1770
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 713-798-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 06/19/2026

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Directions to “ MARY ISABEL ALEJO AGACNP-BC” Practice Location

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