Provider Demographics
NPI:1295947554
Name:ENCARNACION, ARTHUR GINO (NP)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:GINO
Last Name:ENCARNACION
Suffix:
Gender:M
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:PO BOX 704
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-0704
Mailing Address - Country:US
Mailing Address - Phone:713-898-4412
Mailing Address - Fax:
Practice Address - Street 1:11800 ASTORIA BLVD STE E2031.1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6041
Practice Address - Country:US
Practice Address - Phone:281-929-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588848363L00000X
TXAP113875363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1295947554OtherBLUE CROSS BLUE SHIELD
TX282202502Medicaid
TX588848OtherNURSING LISCENSE
TX588848OtherNURSING LISCENSE