Organization
RAQUEPAW ENTERPRISES, INC.
Active
Other names
Jayne Raquepaw, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE RAQUEPAW PH.D. (OWNER/PRESIDENT)
(713) 960-8112
Entity
Organization
Contact information
Practice address
3400 BISSONNET ST STE 280, HOUSTON, TX 77005-2192
(713) 909-4841
Mailing address
3400 BISSONNET ST STE 280, HOUSTON, TX 77005-2192
(713) 909-4841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-4154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000042JN
BLUECROSS BLUESHIELD
TX
05
—
099272902
—
TX
01
—
144401000
MAGELLAN BEHAVIORAL HEALT
TX
01
—
225414713
UNITED BEHAVIORAL HEALTH
TX
01
—
4626769
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
11/14/2005
Last updated
08/27/2022
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