Provider Demographics
NPI:1457124760
Name:WRIGHT, RAQUEL (DNP, MBA)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DNP, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8507 TAMAYO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5253
Mailing Address - Country:US
Mailing Address - Phone:281-253-7307
Mailing Address - Fax:
Practice Address - Street 1:1100 W 34TH ST # 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-6206
Practice Address - Country:US
Practice Address - Phone:281-253-7307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse