MEDICARE: RACHEL LYNN LIMMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	J3783	TX

General Provider Information

NPI Number	:	1760599054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LYNN LIMMER MD

Provider Business Mailing Address
First Line	:	14615 SAN PEDRO AVE
Second Line	:	SUITE 210
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4321
Country	:	US
Telephone Number	:	210-496-9929
Fax Number	:	210-496-6699

Provider Business Practice Location Address
First Line	:	14615 SAN PEDRO AVE
Second Line	:	SUITE 210
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4321
Country	:	US
Telephone Number	:	210-496-9929
Fax Number	:	210-496-6699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	04/16/2015

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