Healthcare Provider Details

I. General information

NPI: 1427395516
Provider Name (Legal Business Name): RACHEL ELIZABETH TRAWEEK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 ROSE CIR
HARKER HEIGHTS TX
76548-6060
US

IV. Provider business mailing address

2006 ROSE CIR
HARKER HEIGHTS TX
76548-6060
US

V. Phone/Fax

Practice location:
  • Phone: 254-710-1010
  • Fax: 254-710-2499
Mailing address:
  • Phone: 254-710-1010
  • Fax: 254-710-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number775528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: