Individual
DR. RACHEL ELLEN KACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2130 NE LOOP 410 STE 100, SAN ANTONIO, TX 78217-4660
(210) 656-7177
(210) 656-3687
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
267637
NY
2086X0206X
Surgical Oncology Physician
34.014960
OH
2086X0206X
Surgical Oncology Physician
Primary
T2191
TX
Other
Enumeration date
07/20/2011
Last updated
10/07/2022
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