Provider Demographics
NPI:1982316451
Name:RODRIGUEZ GARAY, RAYSA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:RAYSA
Middle Name:
Last Name:RODRIGUEZ GARAY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17502 DEWBERRY CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5127
Mailing Address - Country:US
Mailing Address - Phone:281-777-9844
Mailing Address - Fax:
Practice Address - Street 1:10407 NORTH FWY STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1136
Practice Address - Country:US
Practice Address - Phone:832-295-3734
Practice Address - Fax:832-295-3527
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1101820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily