Provider Demographics
NPI:1619752599
Name:FERRERAS, JACINTO ARIT (APRN)
Entity Type:Individual
Prefix:
First Name:JACINTO
Middle Name:ARIT
Last Name:FERRERAS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 CRESCENT OAK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4541
Mailing Address - Country:US
Mailing Address - Phone:281-416-0585
Mailing Address - Fax:
Practice Address - Street 1:1810 CRESCENT OAK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4541
Practice Address - Country:US
Practice Address - Phone:832-868-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2022096996363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care