Provider Demographics
NPI:1194215889
Name:GHIDE, RAHEL (APRN)
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:
Last Name:GHIDE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 LAKEPOINTE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6442
Mailing Address - Country:US
Mailing Address - Phone:214-306-4116
Mailing Address - Fax:469-630-0069
Practice Address - Street 1:1850 LAKEPOINTE DR STE 700
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6442
Practice Address - Country:US
Practice Address - Phone:214-306-4116
Practice Address - Fax:469-630-0069
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily