Provider Demographics
NPI:1982427761
Name:KABASWEKA, RACHEAL (NP)
Entity type:Individual
Prefix:
First Name:RACHEAL
Middle Name:
Last Name:KABASWEKA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RACHEAL
Other - Middle Name:
Other - Last Name:KABASWEKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:3335 MARLENE MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1793
Mailing Address - Country:US
Mailing Address - Phone:267-444-0954
Mailing Address - Fax:
Practice Address - Street 1:3335 MARLENE MEADOW WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1793
Practice Address - Country:US
Practice Address - Phone:267-444-0954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care