Individual
ASHA RACHEL DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, JBSA LACKLAND, TX 78236
(210) 292-6225
(210) 292-7868
Mailing address
2737 SAN MILAN PASS, ROUND ROCK, TX 78665-3955
(214) 250-8593
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259166
VA
207R00000X
Internal Medicine Physician
Primary
U5382
TX
Other
Enumeration date
05/27/2014
Last updated
10/03/2023
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