Requenez, Laura

Requenez, Laura is an individual health care provider with primary practice located at 1311 General Cavazos Blvd 303 And C, Kingsville TX 78363-7150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Requenez, Laura can be contacted via phone (361) 592-3237.

Contact Information

Primary practice address
1311 General Cavazos Blvd 303 And C Kingsville TX 78363-7150
Phone: (361) 592-3237
Fax: (855) 785-4465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09836 Texas

Profile Details

NPI number 1649632266
LBN Legal business name Requenez, Laura
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Aug 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649632266 NPPES
Texas Other 742557428 GROUP TAX ID
Texas Other 741679824 GROUP TAX ID

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