=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093276271
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEAL FAITH ISIGUZO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2019
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1620 FM 2218 RD
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77469-5419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-489-9738
-----------------------------------------------------
Fax | 713-489-9738
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5614 W GRAND PKWY S STE 102
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77406-5820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-280-6744
-----------------------------------------------------
Fax | 346-512-2521
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1179051
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------