Provider Demographics
NPI:1043374036
Name:MEGUESS, RACHAEL K (OTR)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:K
Last Name:MEGUESS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:HAMSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77622-0568
Mailing Address - Country:US
Mailing Address - Phone:409-794-1229
Mailing Address - Fax:409-794-1229
Practice Address - Street 1:2250 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2586
Practice Address - Country:US
Practice Address - Phone:409-860-9203
Practice Address - Fax:409-860-9203
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist