Healthcare Provider Details

I. General information

NPI: 1548756547
Provider Name (Legal Business Name): TRACY GAFFNEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W HOLCOMBE BLVD FL 1
HOUSTON TX
77025-1313
US

IV. Provider business mailing address

930 FROSTWOOD DR STE 2.200
HOUSTON TX
77024-2450
US

V. Phone/Fax

Practice location:
  • Phone: 713-814-2800
  • Fax:
Mailing address:
  • Phone: 713-814-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1061483
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5010748
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: