MEDICARE: RACHEL EASON R.N.

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	174400000X	Specialist	008321	TX

General Provider Information

NPI Number	:	1922049659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL EASON R.N.

Provider Business Mailing Address
First Line	:	4318 CROW VALLEY DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4248
Country	:	US
Telephone Number	:	281-416-8664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 SOUTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2691
Country	:	US
Telephone Number	:	713-661-7733
Fax Number	:	713-661-7755

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	12/27/2011

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