MEDICARE: HELMUT RAUCH 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	207Q00000X	Family Medicine Physician	R1113	TX

General Provider Information

NPI Number	:	1831504141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELMUT RAUCH MD

Provider Business Mailing Address
First Line	:	100 W CENTRAL TEXAS EXPY STE 210
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-7469
Country	:	US
Telephone Number	:	254-618-1186
Fax Number	:	512-666-3748

Provider Business Practice Location Address
First Line	:	800 W CENTRAL TEXAS EXPY STE 125
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1996
Country	:	US
Telephone Number	:	254-618-1050
Fax Number	:	254-618-1058

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	01/30/2019

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