LAURA REQUENEZ (NPI# 1649632266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649632266 |
| Entity Type | Individual |
| Full Name | LAURA REQUENEZ |
| Credential | PA |
| Practice Address |
1311 General Cavazos Blvd 303 and C Kingsville TX 78363-7150 |
| Mailing Address |
204 E 1st St Alice TX 78332-4822 |
| Practice Telephone | 3615923237 |
| Practice Fax Number | 8557854465 |
| Mailing Telephone | 3613960370 |
| Mailing Fax Number | 3616642248 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA09836 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP TAX ID | 742557428 | 01 |
| TX | GROUP TAX ID | 741679824 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2808 Industrial Loop, Beeville, TX 78102 | 3613588411 | 3614925527 |
| 101 W Potts St, Falfurrias, TX 783554906 | 3613253673 | 3612211786 |
| 614 W Front St, Alice, TX 783327112 | 3616649587 | 3613844259 |
| 115 W Main St, Benavides, TX 783410641 | 3612563663 | 3612211889 |
| 502 E. San Patricio Ave, Mathis, TX 783682266 | 3615474121 | 3613844254 |
| 621 E Sinton St, Sinton, TX 783872801 | 3613644486 | 3613647385 |
| 700 Flournoy Rd Ste 2a, Alice, TX 783324088 | 3616641417 | 3613844368 |
| 301 S Hillside Dr # 5615, Beeville, TX 781025307 | 3613620307 | 3614925521 |
| 201 Roots Ave, Taft, TX 783903059 | 3615284516 | 3613647364 |
| 1302 S St Marys St, Falfurrias, TX 783555034 | 3613259404 | 3612211728 |
| Street Address |
1311 GENERAL CAVAZOS BLVD 303 AND C |
| City | KINGSVILLE |
| State | TX |
| Zip Code | 78363-7150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883642 | Deanna Justice Reynolds | Pathology | 1311 General Cavazos Blvd, Lab - Christus Spohn Hospital Kleberg, Kingsville, TX 78363-7129 | 2005-07-07 |
| 1306496609 | Bala Niklesh Reddy Pothireddy | Physical Therapist | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2019-09-18 |
| 1659822039 | Community Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, A, Kingsville, TX 78363-7150 | 2016-10-20 |
| 1912308099 | Communiuty Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, Suites 303 and C, Kingsville, TX 78363-7150 | 2014-09-09 |
| 1750701496 | Kingsville Cardiovascular Clinic, Pa | Internal Medicine | 1311 General Cavazos Blvd, Suite 201, Kingsville, TX 78363-7150 | 2014-04-21 |
| 1861825903 | Anna Rosa Bray | Nurse Practitioner | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-13 |
| 1265865307 | Cynthia G Salinas | Nurse Practitioner | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-13 |
| 1427480276 | Christus Spohn Kleberg Hospital | General Acute Care Hospital | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-04 |
| 1164868998 | Community Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, Suites 303 and C, Kingsville, TX 78363-7150 | 2013-05-20 |
| 1942540877 | Gerald Banks | Emergency Medicine | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598810 | Adriana Galicia | Speech-Language Pathologist | 316 E General Cavasos Blvd, Kingsville, TX 78363 | 2018-08-21 |
| 1609379171 | Amanda Sue Benavidez | Counselor | 1621 East Corral, Kingsville, TX 78363 | 2018-03-12 |
| 1437666831 | Castaneda Quick Care, P.l.l.c. | Nurse Practitioner | 907 E. Fordyce Ave., Kingsville, TX 78363 | 2018-01-08 |
| 1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
| 1508104415 | Angels of God Home Health LLC | Licensed Vocational Nurse | 117 N 7th St., Kingsville, TX 78363 | 2013-01-28 |
| 1679818595 | Randall L Simonsen Md Pa | Pathology | 1311 East General Cavazos, Christus Spohn Hospital Kleberg, Kingsville, TX 78363 | 2012-12-04 |
| 1124378120 | Cecil David Matthews | Pharmacist | 1010 West Ave B, Oee, Kingsville, TX 78363 | 2012-09-17 |
| 1861621708 | Amber Insook Chun | Student in an Organized Health Care Education/Training Program | 1010 West Avenue B, Texas A&m Health Science Center, Msc 131, Kingsville, TX 78363 | 2009-07-14 |
| 1437317294 | Ugarte Family Medical Clinic | Family Medicine | 1311 E General Cavazos Blvd Ste L, Kingsville, TX 78363 | 2008-05-29 |
| 1871773945 | Richard Gerard Sanchez | Counselor | 205 East King, Suite 3, Kingsville, TX 78363 | 2007-11-06 |
| Find all providers in zip 78363 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972064533 | Megan Nicole Delapaz | Physician Assistant | 376 W County Road 2160, Kingsville, TX 78363-2725 | 2019-03-27 |
| 1700206133 | Quality Care Medical Center of Kingsville Pa | Physician Assistant | 510 E Caesar Ave, Kingsville, TX 78363 | 2014-04-24 |
| 1881881274 | Jerin D Bryant | Physician Assistant | 227 W Kleberg Ave, Kingsville, TX 78363-4427 | 2007-09-28 |
| 1558410126 | Danny I Hutchins | Physician Assistant | 415 S 6th St, Kingsville, TX 78363-5518 | 2007-01-10 |
| 1578598736 | Bayside Emergency Physicians, LLP | Physician Assistant | 1311 General Cavazos Blvd, Kingsville, TX 78363-7129 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | KINGSVILLE |
| Zip Code | 78363 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.