Provider Demographics
NPI:1346770732
Name:MORREN, RACHEL REUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:REUE
Last Name:MORREN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 WILLIAM HOLLAND AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1221
Mailing Address - Country:US
Mailing Address - Phone:512-431-3527
Mailing Address - Fax:
Practice Address - Street 1:211 WALTER SEAHOLM DR # LR160
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-0019
Practice Address - Country:US
Practice Address - Phone:512-949-8202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice