Provider Demographics
NPI:1346886157
Name:LONGORIA, RAQUEL VEGA (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:VEGA
Last Name:LONGORIA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-7812
Mailing Address - Country:US
Mailing Address - Phone:817-473-9473
Mailing Address - Fax:214-504-2435
Practice Address - Street 1:1601 N HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-7812
Practice Address - Country:US
Practice Address - Phone:817-473-9473
Practice Address - Fax:214-504-2435
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-27
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705819363LF0000X
TXAP144616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily