Individual
JULIA RAQUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2656 S LOOP W STE 595, HOUSTON, TX 77054-5618
(346) 800-6001
Mailing address
2656 S LOOP W STE 595, HOUSTON, TX 77054-5618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
903230
TX
363L00000X
Nurse Practitioner
1076086
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1076086
TX
Other
Enumeration date
06/13/2022
Last updated
10/16/2023
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