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Individual

DR. REBECCA HELENA MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3518 BRANDEMERE DR, PEARLAND, TX 77584-9446
(713) 598-6265
(281) 485-9089
Mailing address
3626 MIRAGLEN DR, SUITE 119, PEARLAND, TX 77584-9055
(713) 598-6265
(281) 485-9089

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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