Healthcare Provider Details

I. General information

NPI: 1124610712
Provider Name (Legal Business Name): KENIA ROMAN ARIAS APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18350 TIMBER FOREST DR # 200
HUMBLE TX
77346-2957
US

IV. Provider business mailing address

18350 TIMBER FOREST DR # 200
HUMBLE TX
77346-2957
US

V. Phone/Fax

Practice location:
  • Phone: 832-656-8769
  • Fax:
Mailing address:
  • Phone: 281-968-5653
  • Fax: 281-968-8416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1026436
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1026436
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: