Provider Demographics
NPI:1790024719
Name:ECKROTH, RACHEL J (LAC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:ECKROTH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 LA RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2713
Mailing Address - Country:US
Mailing Address - Phone:713-398-4498
Mailing Address - Fax:
Practice Address - Street 1:5925 ALMEDA RD
Practice Address - Street 2:6TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7602
Practice Address - Country:US
Practice Address - Phone:713-398-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01406171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist