Individual
DR. REBECCA HELENA MAXWELL
Active
Individual
DR. REBECCA HELENA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L6519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100228194
AMERIGROUP
TX
05
—
182265201
—
TX
01
—
8G7085
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/20/2006
Last updated
03/24/2016
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