Provider Demographics
NPI:1114817970
Name:BECERRIL, RAQUEL (RN)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:BECERRIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12144 DAIRY ASHFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6212
Mailing Address - Country:US
Mailing Address - Phone:832-939-8137
Mailing Address - Fax:
Practice Address - Street 1:12144 DAIRY ASHFORD RD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6211
Practice Address - Country:US
Practice Address - Phone:832-939-8137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX970807163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy