Provider Demographics
NPI:1760914543
Name:WILEY, RACHEL LANDGREN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LANDGREN
Last Name:WILEY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN STREET
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5389
Mailing Address - Country:US
Mailing Address - Phone:832-325-7200
Mailing Address - Fax:713-512-2237
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:832-325-7200
Practice Address - Fax:713-512-2237
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47486207V00000X
390200000X
TXTX4872207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program