Provider Demographics
NPI:1174207112
Name:ARANDA, RICARDO (CRNA)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:ARANDA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 LINDRITH
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4312
Mailing Address - Country:US
Mailing Address - Phone:312-799-9061
Mailing Address - Fax:
Practice Address - Street 1:9606 LINDRITH
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4312
Practice Address - Country:US
Practice Address - Phone:312-799-9061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131550367500000X
MO2024026241367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered