=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013925171
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REBECCA ARELLANO QUEJA M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1201 E 9TH ST
-----------------------------------------------------
City | BONHAM
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75418-4059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-583-6278
-----------------------------------------------------
Fax | 903-583-6797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1201 E 9TH ST
-----------------------------------------------------
City | BONHAM
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75418-4059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-583-6278
-----------------------------------------------------
Fax | 903-583-6797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number | F5892
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2085U0001X
-----------------------------------------------------
Taxonomy Name | Diagnostic Ultrasound Physician
-----------------------------------------------------
License Number | F5892
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------