Healthcare Provider Details

I. General information

NPI: 1306700109
Provider Name (Legal Business Name): RAYLEEN NAVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 W NOLANA LOOP
PHARR TX
78577-8340
US

IV. Provider business mailing address

1918 W BELLA VISTA AVE
ALTON TX
78573-6042
US

V. Phone/Fax

Practice location:
  • Phone: 956-374-5187
  • Fax:
Mailing address:
  • Phone: 956-529-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT148217
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: