Basic Information
Provider Information
NPI: 1912234964
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNOLD
FirstName: RACHEL
MiddleName: TROYER
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TROYER
OtherFirstName: RACHEL
OtherMiddleName: LYNN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PA
OtherLastNameType: 1
Mailing Information
Address1: 2 GREENWAY PLZ
Address2: SUITE 300
City: HOUSTON
State: TX
PostalCode: 770460297
CountryCode: US
TelephoneNumber: 8328283660
FaxNumber:  
Practice Location
Address1: 6701 FANNIN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302608
CountryCode: US
TelephoneNumber: 8328241000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/12/2009
LastUpdateDate: 11/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA.200213LAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363A00000X TXN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


Home