Healthcare Provider Details

I. General information

NPI: 1548178965
Provider Name (Legal Business Name): RAQUEL CASTILLEJA ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 THIEF NECK LANE
MAUD TX
75567
US

IV. Provider business mailing address

PO BOX 562
MAUD TX
75567-0562
US

V. Phone/Fax

Practice location:
  • Phone: 956-489-8050
  • Fax:
Mailing address:
  • Phone: 956-489-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number35754
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: