Individual provider Active NPI

Andrei Razo Ajero, RN, BSN

  • Emergency Registered Nurse
  • Houston, TX
National Provider Identifier
1033618194
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
786781 Issued in TX
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(832) 355-2121
NPI assigned
Feb 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 786781 TX Primary

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

17615 Lynedoch LN
Richmond, TX 77407-2222
Phone (832) 360-7065

Other practice location 1

11713 Shadow Creek Pkwy
Pearland, TX 77584-7198
Phone (713) 574-8643

Other practice location 2

6363 San Felipe St Ste 100
Houston, TX 77057-2714
Phone (832) 781-0275

Other practice location 3

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (832) 240-1138

Other practice location 4

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
786781TXMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Emergency Physicians PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033618194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 LYNEDOCH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072222",
            "telephone_number": "832-360-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11713 Shadow Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847198",
            "country_code": "US",
            "telephone_number": "713-574-8643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 San Felipe St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770572714",
            "country_code": "US",
            "telephone_number": "832-781-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "832-240-1138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 Lake Pointe Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783997",
            "country_code": "US",
            "telephone_number": "281-637-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJERO",
        "first_name": "ANDREI",
        "middle_name": "RAZO",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "786781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.