MEDICARE: RACHEL SHEPHERD 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	207V00000X	Obstetrics & Gynecology Physician	P9729	TX

General Provider Information

NPI Number	:	1568773166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SHEPHERD MD

Provider Business Mailing Address
First Line	:	6611 RIVER PLACE BLVD STE 202
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-1167
Country	:	US
Telephone Number	:	512-473-8300
Fax Number	:	844-971-6110

Provider Business Practice Location Address
First Line	:	6611 RIVER PLACE BLVD STE 202
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-1167
Country	:	US
Telephone Number	:	512-473-8300
Fax Number	:	844-971-6110

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

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	10/02/2019

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