Provider Demographics
NPI:1083746119
Name:MCGINNIS, RACHEL C (DO)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:C
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1340 WONDER WORLD DR STE 2300
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-8070
Practice Address - Country:US
Practice Address - Phone:512-654-4900
Practice Address - Fax:512-654-4901
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2631207Q00000X
MDH74478207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342562101Medicaid
TX342562101Medicaid