Provider Demographics
NPI:1588448013
Name:RAJI, ERINA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:ERINA
Middle Name:
Last Name:RAJI
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:ERINA
Other - Middle Name:
Other - Last Name:IMASOGIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:7723 POUTER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5131
Mailing Address - Country:US
Mailing Address - Phone:832-607-1020
Mailing Address - Fax:
Practice Address - Street 1:7723 POUTER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5131
Practice Address - Country:US
Practice Address - Phone:832-607-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088907363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care