Provider Demographics
NPI:1790417335
Name:RAZA, AMAN (PA)
Entity type:Individual
Prefix:
First Name:AMAN
Middle Name:
Last Name:RAZA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14642 TWILIGHT KNOLL TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7798
Mailing Address - Country:US
Mailing Address - Phone:832-512-3798
Mailing Address - Fax:
Practice Address - Street 1:23910 KATY FWY STE 201
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1477
Practice Address - Country:US
Practice Address - Phone:713-486-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16016207X00000X, 363AM0700X
MA363AM0700X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program