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NPI Code Detail

MEDICARE: RAQUEL L BROWN RN

MEDICARE: RAQUEL L BROWN RN
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
1163WP2201XAmbulatory Care Registered Nurse780363TX

General Provider Information

NPI Number : 1871393579
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL L BROWN RN
Provider Business Mailing Address
First Line : 13302 ANTELOPE RUN
Second Line :
City : SAINT HEDWIG
State : TX
Zip : 78152-0059
Country : US
Telephone Number : 210-748-9659
Fax Number :
Provider Business Practice Location Address
First Line : 3418 E SOUTHCROSS BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1633
Country : US
Telephone Number : 210-337-4316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 03/13/2025

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