Henry G Raroque Jr MD PA
Psychiatry & Neurology, Neurology in Irving, TX. Organization (NPI-2).
NPI number1174713150
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1174713150
- Entity type
- Organization (NPI-2)
- Legal business name
- Henry G Raroque Jr MD PA
- Organization subpart
- No
- Enumeration date
- Jul 26, 2007
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 2084S0012X | Psychiatry & Neurology, Sleep Medicine | – | – |
Other names
- Southwestern Neuroscience Institute (Doing Business As)
Practice location
1215 Kinwest Pkwy Ste 120Irving, TX 75063-3403
Phone 214-496-0500 · Fax 214-496-0922
Mailing address
1215 Kinwest Pkwy Ste 120Irving, TX 75063-3403
Phone 214-496-0500 · Fax 214-496-0922
Authorized official
Jennifer Sage
Manager
2144960500
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