Provider Demographics
NPI:1053883298
Name:RIZWAN, AYSHA (NP)
Entity type:Individual
Prefix:
First Name:AYSHA
Middle Name:
Last Name:RIZWAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 LADERA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1413
Mailing Address - Country:US
Mailing Address - Phone:832-276-4399
Mailing Address - Fax:
Practice Address - Street 1:1302 WAUGH DR STE 957
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3908
Practice Address - Country:US
Practice Address - Phone:713-412-8454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily