MEDICARE: RAFAELA GAINZA GUEVARA RN

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
1	163W00000X	Registered Nurse	1188013	TX
2	163WH0200X	Home Health Registered Nurse	1188013	TX
3	163WI0500X	Infusion Therapy Registered Nurse	1188013	TX
4	163WI0600X	Infection Control Registered Nurse	1188013	TX
5	163WN1003X	Nutrition Support Registered Nurse	1188013	TX
6	163WP0200X	Pediatric Registered Nurse	1188013	TX
7	163WP2201X	Ambulatory Care Registered Nurse	1188013	TX
8	163WC1600X	Continuing Education/Staff Development Registered Nurse	1188013	TX

General Provider Information

NPI Number	:	1467327775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAELA GAINZA GUEVARA RN

Provider Business Mailing Address
First Line	:	21814 DIMMETT WAY
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3527
Country	:	US
Telephone Number	:	713-374-5663
Fax Number	:	713-374-5663

Provider Business Practice Location Address
First Line	:	616 FM 1960 RD W STE 450H
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3000
Country	:	US
Telephone Number	:	713-374-5663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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