Individual
STACY PHILLIPPE RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
3619 PAESANOS PKWY STE 302, SHAVANO PARK, TX 78231-1259
(888) 509-2306
Mailing address
115 CASTANO AVE, SAN ANTONIO, TX 78209-3745
(317) 363-7644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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