Provider Demographics
NPI:1942419924
Name:HAVERKORN, RASHEL M (MD)
Entity Type:Individual
Prefix:
First Name:RASHEL
Middle Name:M
Last Name:HAVERKORN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7909 FREDERICKSBURG RD 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3400
Mailing Address - Country:US
Mailing Address - Phone:210-731-2050
Mailing Address - Fax:210-679-3724
Practice Address - Street 1:11212 HIGHWAY 151
Practice Address - Street 2:SUITE # 180
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:210-521-7333
Practice Address - Fax:210-679-3735
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2015-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM8706208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201070403Medicaid
TXTXB133324Medicare Oscar/Certification