Provider Demographics
NPI:1962816892
Name:SPECK, RACHEL JOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:JOY
Last Name:SPECK
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 1:3131 EASTSIDE ST
Mailing Address - Street 2:SUITE 470
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1935
Mailing Address - Country:US
Mailing Address - Phone:713-528-6684
Mailing Address - Fax:
Practice Address - Street 1:3131 EASTSIDE ST
Practice Address - Street 2:SUITE 470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1935
Practice Address - Country:US
Practice Address - Phone:713-528-6684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist