Provider Demographics
NPI:1093405219
Name:RICKERSON, ALISON ARMOUR (PA)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ARMOUR
Last Name:RICKERSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:KAYE
Other - Last Name:ARMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:18531 RUSTIC OAR WAY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-6209
Mailing Address - Country:US
Mailing Address - Phone:832-474-3119
Mailing Address - Fax:
Practice Address - Street 1:2711 FERNDALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1113
Practice Address - Country:US
Practice Address - Phone:713-426-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant