MEDICARE: ADLAI EARL ARANDELA AA

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	367H00000X	Anesthesiologist Assistant	TX26119145	TX

General Provider Information

NPI Number	:	1598267387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADLAI EARL ARANDELA AA

Provider Business Mailing Address
First Line	:	8019 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-6157
Country	:	US
Telephone Number	:	361-877-1092
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-704-4000
Fax Number	:

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

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	12/08/2025

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