Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 154517 | TX |
N | 111N00000X | Chiropractor | 2016022433 | MO |
Y | 111NN1001X | Nutrition | 154517 | TX |
N | 111NP0017X | Pediatric Chiropractor | 2016022433 | MO |
NPI | 1659723732 |
---|---|
Provider Name | Dr. Raquel Grogan-Webb |
First Address | Katy, TX 77494-7139 |
Second Address | Katy, TX 77494-7139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2016 |
Last Update Date | 17/01/2021 |