Provider Demographics
NPI:1710428776
Name:ARAIZA, RICHARD (FNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ARAIZA
Suffix:
Gender:M
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13230 FM 1764 RD STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9673
Mailing Address - Country:US
Mailing Address - Phone:409-316-9085
Mailing Address - Fax:
Practice Address - Street 1:229 PARKING WAY ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5226
Practice Address - Country:US
Practice Address - Phone:979-297-4066
Practice Address - Fax:409-316-9014
Is Sole Proprietor?:No
Enumeration Date:2017-03-10
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily