Healthcare Provider Details

I. General information

NPI: 1790417335
Provider Name (Legal Business Name): AMAN RAZA P.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23910 KATY FWY STE 201
KATY TX
77494-1477
US

IV. Provider business mailing address

14642 TWILIGHT KNOLL TRL
CYPRESS TX
77429-7798
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-9800
  • Fax:
Mailing address:
  • Phone: 832-512-3798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberPA16016
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA16016
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: