Provider Demographics
NPI:1770450413
Name:CAMACHO, AIRA MAE DIMACUHA (PMHNP- BC)
Entity type:Individual
Prefix:MRS
First Name:AIRA MAE
Middle Name:DIMACUHA
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:PMHNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 MOHAN CT
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-1921
Mailing Address - Country:US
Mailing Address - Phone:646-377-5171
Mailing Address - Fax:
Practice Address - Street 1:3415 MOHAN CT
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-1921
Practice Address - Country:US
Practice Address - Phone:646-377-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX814478163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty