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NPI Code Detail

MEDICARE: RACHEL RHODES PA-C

MEDICARE: RACHEL RHODES PA-C
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
1363A00000XPhysician AssistantPA08262TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18KC544OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3741340OTHERTXMCR PTAN

General Provider Information

NPI Number : 1598006876
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RHODES PA-C
Provider Business Mailing Address
First Line : 5623 HAMILTON WOLFE APT 511
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-4055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4450 MEDICAL DR FL 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3710
Country : US
Telephone Number : 210-575-3817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2013
Last Update Date : 08/06/2019

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Directions to “ RACHEL RHODES PA-C” Practice Location

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