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NPI Code Detail

MEDICARE: HEATHER RAE RHODES

MEDICARE:   HEATHER RAE RHODES
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
1235Z00000XSpeech-Language Pathologist107333TX

General Provider Information

NPI Number : 1245590728
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER RAE RHODES
Provider Business Mailing Address
First Line : 15911 NACOGDOCHES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-1107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15911 NACOGDOCHES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-1107
Country : US
Telephone Number : 210-599-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 06/11/2013

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Directions to “ HEATHER RAE RHODES ” Practice Location

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