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NPI 1285297929

NPI 1285297929 : RACHEL MARIE WOOD : HELOTES, TX

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General NPI Number Information
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    NPI Number           |    1285297929
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL MARIE WOOD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2019
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    12030 BANDERA RD STE 108B 
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    City                 |    HELOTES
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    State                |    TX
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    Zip                  |    78023-4736
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    Country              |    US
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    Telephone            |    210-952-7112
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    Fax                  |    210-874-7115
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Provider Business Mailing Address
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    Address Line         |    10227 CACTUS VLY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78254-5916
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    Country              |    US
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    Telephone            |    830-260-2758
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    U4379
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    U4379
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    License Number State |    TX
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