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NPISignal

Individual Healthcare Provider

Laura Requenez, PA

NPI Record: ActivePhysician Assistant
NPI1649632266
Selma, Texas

Provider's NPPES record last updated: October 28, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1649632266
Primary Specialty
Physician Assistant
Practice Location
Selma, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:04 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Provider-Reported License Information

Physician Assistant (Texas)
PA09836
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

17766 Verde Pkwy Ste 230

Selma, Texas 78154-2226

Phone: (201) 998-2410

Additional Practice Location

614 W Front St

Alice, Texas 78332-7112

Phone: (361) 664-9587

Fax: (361) 384-4259

Additional Practice Location

301 S Hillside Dr # 5615

Beeville, Texas 78102-5307

Phone: (361) 362-0307

Fax: (361) 492-5521

Additional Practice Location

700 Flournoy Rd Ste 2a

Alice, Texas 78332-4088

Phone: (361) 664-1417

Fax: (361) 384-4368

Additional Practice Location

1302 S St Marys St

Falfurrias, Texas 78355-5034

Phone: (361) 325-9404

Fax: (361) 221-1728

Additional Practice Location

2808 Industrial Loop

Beeville, Texas 78102

Phone: (361) 358-8411

Fax: (361) 492-5527

Additional Practice Location

101 W Potts St

Falfurrias, Texas 78355-4906

Phone: (361) 325-3673

Fax: (361) 221-1786

Additional Practice Location

115 W Main St

Benavides, Texas 78341-0641

Phone: (361) 256-3663

Fax: (361) 221-1889

Additional Practice Location

502 E. San Patricio Ave

Mathis, Texas 78368-2266

Phone: (361) 547-4121

Fax: (361) 384-4254

Additional Practice Location

621 E Sinton St

Sinton, Texas 78387-2801

Phone: (361) 364-4486

Fax: (361) 364-7385

Additional Practice Location

1311 General Cavazos Blvd

303 and C

Kingsville, Texas 78363-7150

Phone: (361) 592-3237

Fax: (855) 785-4465

Record Information

Enumeration Date
March 23, 2016
Provider's NPPES Record Last Updated
October 28, 2024
Certification Date
October 28, 2024
NPISignal NPPES Dataset
August 2026

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