Provider Demographics
NPI:1659723732
Name:GROGAN-WEBB, RAQUEL (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:
Last Name:GROGAN-WEBB
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 COBIA DR STE 1902
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7139
Mailing Address - Country:US
Mailing Address - Phone:832-913-1085
Mailing Address - Fax:
Practice Address - Street 1:440 COBIA DR STE 1902
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7139
Practice Address - Country:US
Practice Address - Phone:832-913-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154517111N00000X, 111NN1001X
MO2016022433111N00000X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor