Organization Active NPI

Henry G Raroque Jr MD PA

Doing business as Sni

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1174713150
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HENRY G RAROQUE JR MD PA
Doing business as
Sni
Southwestern Neuroscience Institute
Practice address
1215 Kinwest Pkwy Ste 120
Irving, TX 75063-3403
Phone
(214) 496-0500
Fax
(214) 496-0922
NPI assigned
Jul 26, 2007
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Sage
Title
Manager
Phone
(214) 496-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU

Addresses

Primary practice location

1215 Kinwest Pkwy Ste 120
Irving, TX 75063-3403

Mailing address

1215 Kinwest Pkwy Ste 120
Irving, TX 75063-3403
Phone (214) 496-0500

Other names 2

  • SNI Doing business as
  • Southwestern Neuroscience Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000290 TX Part B Supplier - Clinic/Group Practice 2961449418 Receives reassigned benefits from 3 practitioners
Practice locations: Keller, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

6407 S Cooper St
Arlington, TX 76001
Phone (214) 496-0500

1215 Kinwest Pkwy
Irving, TX 75063
Phone (972) 506-0931

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1174713150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633403",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633403",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY G RAROQUE JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-496-0500"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwestern Neuroscience Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.