Individual
ILIANA BARRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 FANNIN ST STE 640, HOUSTON, TX 77030-2610
(832) 824-1000
Mailing address
3530 SHADOW TRL, HOUSTON, TX 77084-3868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18743
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2024
Last updated
03/04/2025
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