Provider Demographics
NPI:1609127117
Name:FOREMAN, RACHEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:FOREMAN
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 1:2240 TEXAS PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4208
Mailing Address - Country:US
Mailing Address - Phone:832-930-7808
Mailing Address - Fax:832-539-1327
Practice Address - Street 1:2240 TEXAS PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4208
Practice Address - Country:US
Practice Address - Phone:832-930-7808
Practice Address - Fax:832-529-1327
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice