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NPI Code Detail

MEDICARE: RACHEL ELLIOTT

MEDICARE: RACHEL ELLIOTT
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
1106S00000XBehavior TechnicianRBT-19-91808TX

General Provider Information

NPI Number : 1417501016
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ELLIOTT
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 832-653-2486
Provider Business Practice Location Address
First Line : 201 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5638
Country : US
Telephone Number : 469-687-9184
Fax Number : 682-334-7806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 07/31/2019

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Directions to “ RACHEL ELLIOTT ” Practice Location

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