Provider Demographics
NPI:1770521908
Name:ROJAS, GUADALUPE ROLAND (ARNP)
Entity type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:ROLAND
Last Name:ROJAS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17612 VALLEY PALMS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8657
Mailing Address - Country:US
Mailing Address - Phone:832-656-1099
Mailing Address - Fax:
Practice Address - Street 1:10606 HEMPSTEAD RD
Practice Address - Street 2:SUITE # 144
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8441
Practice Address - Country:US
Practice Address - Phone:866-949-9097
Practice Address - Fax:866-949-9096
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522488363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P51121Medicare UPIN