| Laura Requenez, PA | |
|
17766 Verde Pkwy Ste 230, Selma, TX 78154-2226 | |
| (201) 998-2410 | |
| Not Available |
| Full Name | Laura Requenez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 17766 Verde Pkwy Ste 230, Selma, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649632266 | NPI | - | NPPES |
| 741679824 | Other | TX | GROUP TAX ID |
| 742557428 | Other | TX | GROUP TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09836 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Requenez, PA 17766 Verde Pkwy Ste 230, Selma, TX 78154-2226 Ph: (201) 998-2410 | Laura Requenez, PA 17766 Verde Pkwy Ste 230, Selma, TX 78154-2226 Ph: (201) 998-2410 |
Jenaye Liann Madigan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15069 Ih 35 N Ste 116, Selma, TX 78154 Phone: 210-656-4878 Fax: 210-314-5044 | |
Thomas Lee Brewer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16203 Galloping Oak Knl, Selma, TX 78154 Phone: 210-291-9749 Fax: 210-637-9000 | |
Julie M. Rathbun, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5016 Fm 1518, Selma, TX 78154 Phone: 210-654-9300 Fax: 210-654-9302 | |
Mr. Leon A Richardson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: Texas Medclinic, 8341 Agora Pkway, Selma, TX 78154 Phone: 210-559-5533 |