Provider Demographics
NPI:1134396757
Name:GRAVEL, RACHEL AUBREY (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:AUBREY
Last Name:GRAVEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:AUBREY
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19238 STONEHUE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3447
Mailing Address - Country:US
Mailing Address - Phone:210-494-2223
Mailing Address - Fax:210-494-6516
Practice Address - Street 1:124 E BANDERA RD
Practice Address - Street 2:SUITE 304
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2849
Practice Address - Country:US
Practice Address - Phone:830-816-5055
Practice Address - Fax:830-816-5056
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9151208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics