Basic Information
Provider Information
NPI: 1578001574
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTBROOK
FirstName: RACHEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 911 CENTRAL PKWY N STE 300
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782325053
CountryCode: US
TelephoneNumber: 8004046050
FaxNumber:  
Practice Location
Address1: 135 BUNTON CREEK RD STE 305
Address2:  
City: KYLE
State: TX
PostalCode: 786405701
CountryCode: US
TelephoneNumber: 8004046050
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2017
LastUpdateDate: 10/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111NP0017X13423TXN Chiropractic ProvidersChiropractorPediatric Chiropractor
111N00000X13423TXY Chiropractic ProvidersChiropractor 

ID Information
IDTypeStateIssuerDescription
1342301TXTEXAS BOARD OF CHIROPRACTICOTHER


Home