TRACY A. PENN (NPI# 1083657480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083657480 |
| Entity Type | Individual |
| Full Name | TRACY A. PENN |
| Other Name | MISS TRACY ANN CRAWFORD |
| Credential | P.A.-C |
| Practice Address |
2010 Nine Road Rehab. Center Frontera Healthcare Network, Inc. Brady TX 76825 |
| Mailing Address |
P.o. Box 989 604 Eaker St. Frontera Healthcare Network, Inc. Eden TX 76837 |
| Practice Telephone | 3255970102 |
| Practice Fax Number | 3255972939 |
| Mailing Telephone | 3258695500 |
| Mailing Fax Number | 3258695692 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04795 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2010 NINE ROAD REHAB. CENTER FRONTERA HEALTHCARE NETWORK, INC. |
| City | BRADY |
| State | TX |
| Zip Code | 76825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364970 | Royal Oaks Assisted Living | Assisted Living Facility | 2000 Nine Rd, Brady, TX 76825 | 2020-07-30 |
| 1295157717 | Mcculloch County Hospital District | General Acute Care Hospital | 2008 Nine Road, Brady, TX 76825 | 2014-01-17 |
| 1942288857 | Jeffry Patrick Mays | Emergency Medicine | 2026 S Bridge, Brady, TX 76825 | 2006-01-03 |
| 1538426184 | Stephen Douglas Bell | Family Medicine | 2010 Nine Rd, Brady, TX 76825 | 2012-04-20 |
| 1215577457 | Kevin Andrew Meekma | Registered Nurse | 108 State St, Brady, TX 76825-3304 | 2020-01-15 |
| 1770085391 | Dorothy Lee Richardson | Physician Assistant | 201 State St, Brady, TX 76825-3305 | 2018-02-28 |
| 1851891600 | Mary Elizabeth Torrez | Licensed Vocational Nurse | 502 W White St, Brady, TX 76825-3819 | 2018-02-19 |
| 1700108388 | Suzanne Holubec | Case Manager/Care Coordinator | 704 N. Blackburn, Brady, TX 76825-4001 | 2010-02-23 |
| 1497703094 | Oxypro, Inc. | Durable Medical Equipment & Medical Supplies | 902 N Bridge St, Brady, TX 76825-4015 | 2006-05-05 |
| 1598803280 | Texas Oxycare, Inc. | Durable Medical Equipment & Medical Supplies | 301 W Commerce St, Brady, TX 76825-4401 | 2007-02-02 |
| Find all providers in zip 76825 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.