MEDICARE: RAQUEL BECERRIL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse	970807	TX

General Provider Information

NPI Number	:	1114817970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL BECERRIL RN

Provider Business Mailing Address
First Line	:	12144 DAIRY ASHFORD RD STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6212
Country	:	US
Telephone Number	:	832-939-8137
Fax Number	:

Provider Business Practice Location Address
First Line	:	12144 DAIRY ASHFORD RD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6211
Country	:	US
Telephone Number	:	832-939-8137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	07/03/2025

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