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NPI Code Detail

MEDICARE: RACHEL JEAN VIGIL

MEDICARE: RACHEL JEAN VIGIL
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 Technician

General Provider Information

NPI Number : 1699316943
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JEAN VIGIL
Provider Business Mailing Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 855-782-7822
Fax Number :
Provider Business Practice Location Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 03/08/2021

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Directions to “ RACHEL JEAN VIGIL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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