Provider Demographics
NPI:1043680374
Name:RACHEL B. HEAD, MD, PLLC
Entity Type:Organization
Organization Name:RACHEL B. HEAD, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:BAUBLET
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-560-5200
Mailing Address - Street 1:440 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-6960
Mailing Address - Country:US
Mailing Address - Phone:769-226-3001
Mailing Address - Fax:
Practice Address - Street 1:1320 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4269
Practice Address - Country:US
Practice Address - Phone:936-560-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8911208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty