Individual
RACHEAL FORGHAB KEDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8603 N LOOP 1604 W, SAN ANTONIO, TX 78249-2601
(515) 422-8448
Mailing address
8603 N LOOP 1604 W, SAN ANTONIO, TX 78249-2601
(515) 422-8448
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
942000
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1088598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7L7385
MEDICARE
TX
Enumeration date
05/24/2019
Last updated
04/08/2026
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