Provider Demographics
NPI:1548029531
Name:LARROZA, RYAN NOEL (MSN, RN)
Entity type:Individual
Prefix:
First Name:RYAN NOEL
Middle Name:
Last Name:LARROZA
Suffix:
Gender:M
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 CYPRESS CREEK PKWY STE 408
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4211
Mailing Address - Country:US
Mailing Address - Phone:832-762-4722
Mailing Address - Fax:
Practice Address - Street 1:5625 CYPRESS CREEK PKWY STE 408
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4211
Practice Address - Country:US
Practice Address - Phone:832-762-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022173163WW0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty