Healthcare Provider Details

I. General information

NPI: 1518872902
Provider Name (Legal Business Name): RACHEL KATZ IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BRUSHY CREEK RD STE 106
CEDAR PARK TX
78613-3151
US

IV. Provider business mailing address

12210 TECH RIDGE BLVD UNIT 2441
AUSTIN TX
78753-3959
US

V. Phone/Fax

Practice location:
  • Phone: 512-765-9959
  • Fax:
Mailing address:
  • Phone: 310-717-7407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-320478
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: