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Individual

RACHEL L. BREEDLOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4101 JAMES CASEY #300, AUSTIN, TX 78745-1155
(512) 383-9752
(512) 383-9296
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
57.010678
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
N2417
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203668301
TX
05
203668302
TX
Enumeration date
05/17/2007
Last updated
12/13/2010
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