Provider Demographics
NPI:1316477409
Name:BARRAZA, GABRIELA (CNA)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:BARRAZA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12249 VIA DEL RIO
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6474
Mailing Address - Country:US
Mailing Address - Phone:915-787-0784
Mailing Address - Fax:
Practice Address - Street 1:12249 VIA DEL RIO
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6474
Practice Address - Country:US
Practice Address - Phone:915-787-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLHOC17-00022311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home