Individual provider · NPI-1

Raquel Fonseca, MD

Psychiatry & Neurology, Neurology · Spring, TX

NPI number1063809051
StatusActive
Last updated in NPPESJan 21, 2025

Details

NPI
1063809051
Entity type
Individual (NPI-1)
Name
Raquel Fonseca
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2015
Certification date
Jan 21, 2025
Last updated
Jan 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology1014300MAYes

Practice location

26010 Oak Ridge Dr Ste 100
Spring, TX 77380-1972

Phone 281-245-0288 · Fax 281-245-0336

Mailing address

Po Box 797171
Dallas, TX 75379-7171

Phone 214-494-4424 · Fax 214-494-4423

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