Healthcare Provider Details

I. General information

NPI: 1275262479
Provider Name (Legal Business Name): ENRIQUETA ARJONA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BLALOCK RD STE M
HOUSTON TX
77080-5446
US

IV. Provider business mailing address

24733 CHERRY LOG LN
PORTER TX
77365-7599
US

V. Phone/Fax

Practice location:
  • Phone: 832-831-4883
  • Fax: 346-319-2815
Mailing address:
  • Phone: 346-221-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1082840
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-CNP1082840
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: