NPI 1396189015 · live from the CMS NPI Registry
Jose Alton Arevalo, NP
Nurse Practitioner, Family in Katy, TX. National Provider Identifier 1396189015, active.
NPI record
| NPI | 1396189015 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 464 Park Grove Dr, Ste B, Katy, TX 77450 |
| Practice phone | 832-449-8411 |
| Mailing address | 22110 Wetherburn Ln, Katy, TX 77449 |
| Enumerated | April 24, 2013 |
| Last updated | February 17, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | AP145690 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.