Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649632266 Individual Practitioner Female Practitioner

Laura Requenez , PA

Physician Assistant • Selma, TX

Professional Overview & Biography Verified Profile Summary

Laura Requenez, PA is a registered healthcare professional specializing in Physician Assistant in Selma, TX. Practice services are available at 17766 VERDE PKWY STE 230 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17766 Verde Pkwy Ste 230

Selma, TX 781542226

Telephone 2019982410

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Selma, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Selma, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA09836

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Tax Id
741679824 (TX)
Commercial Insurance / Payer ID Group Tax Id
742557428 (TX)

Secondary Practice Locations

614 W Front St

Alice, TX 783327112

Phone: 3616649587

301 S Hillside Dr # 5615

Beeville, TX 781025307

Phone: 3613620307

700 Flournoy Rd Ste 2a

Alice, TX 783324088

Phone: 3616641417

1302 S St Marys St

Falfurrias, TX 783555034

Phone: 3613259404

2808 Industrial Loop

Beeville, TX 78102

Phone: 3613588411

101 W Potts St

Falfurrias, TX 783554906

Phone: 3613253673

115 W Main St

Benavides, TX 783410641

Phone: 3612563663

502 E. San Patricio Ave

Mathis, TX 783682266

Phone: 3615474121

621 E Sinton St

Sinton, TX 783872801

Phone: 3613644486

1311 General Cavazos Blvd, 303 And C

Kingsville, TX 783637150

Phone: 3615923237

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Eduardo Losoya , PA-C

Physician Assistant

NPI 1598313405

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 17766 VERDE PKWY STE 230, SELMA, TX 781542226 (Tel: 2019982410)

📍
Updated Business Mailing Address October 28, 2024

Registered at 17766 VERDE PKWY STE 230, SELMA, TX 781542226 (Tel: 2019982410)

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

Registered at 1311 GENERAL CAVAZOS BLVD, 303 AND C, KINGSVILLE, TX 783637150 (Tel: 3615923237)

📍
Updated Business Mailing Address March 30, 2017

Registered at 204 E 1ST ST, ALICE, TX 783324822 (Tel: 3613960370)

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as LAURA REQUENEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Physician Assistant (License #PA09836 in TX)

NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2016

Registered at 305 E 3RD ST, ALICE, TX 783324705 (Tel: 3616649353)

📍
Updated Business Mailing Address March 23, 2016

Registered at PO BOX 289, ALICE, TX 783330289 (Tel: 3616649353)

👤
Provider Name / Credentials Updated March 23, 2016

Recorded as LAURA REQUENEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Physician Assistant (License #PA09836 in TX)

🟢
Initial NPI Registration & Enumeration March 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649632266
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2016
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

17766 Verde Pkwy Ste 230

Selma, TX 781542226

Phone: 2019982410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.