Healthcare Provider Details

I. General information

NPI: 1114885324
Provider Name (Legal Business Name): RITA MARIA ALVAREZ VAZQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22611 ARCHIBALD BLAIR LN
KATY TX
77449-2717
US

IV. Provider business mailing address

22611 ARCHIBALD BLAIR LN
KATY TX
77449-2717
US

V. Phone/Fax

Practice location:
  • Phone: 786-260-9787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1016385
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: