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NPI Code Detail

MEDICARE: HENRY RACHAL III M.D.

MEDICARE: HENRY RACHAL III M.D.
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
1207L00000XAnesthesiology Physician65415GA
2207L00000XAnesthesiology PhysicianN2743TX

General Provider Information

NPI Number : 1184859340
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY RACHAL III M.D.
Provider Business Mailing Address
First Line : PO BOX 201088
Second Line :
City : HOUSTON
State : TX
Zip : 77216-1088
Country : US
Telephone Number : 713-500-3500
Fax Number : 713-500-8630
Provider Business Practice Location Address
First Line : 1300 RIDENOUR BLVD NW STE 300
Second Line :
City : KENNESAW
State : GA
Zip : 30152-4402
Country : US
Telephone Number : 770-693-0810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 07/16/2024

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