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NPI Code Detail

MEDICARE: ENRIQUETA ARJONA NP

MEDICARE: ENRIQUETA ARJONA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1082840TX
2363LF0000XFamily Nurse PractitionerAPRN-CNP1082840TX

General Provider Information

NPI Number : 1275262479
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENRIQUETA ARJONA NP
Provider Business Mailing Address
First Line : 24733 CHERRY LOG LN
Second Line :
City : PORTER
State : TX
Zip : 77365-7599
Country : US
Telephone Number : 346-221-6411
Fax Number :
Provider Business Practice Location Address
First Line : 1900 BLALOCK RD STE M
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5446
Country : US
Telephone Number : 832-831-4883
Fax Number : 346-319-2815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 05/21/2025

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