Healthcare Provider Details

I. General information

NPI: 1942230479
Provider Name (Legal Business Name): RACHAEL F. STOLTE N. P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E MILAM ST
MEXIA TX
76667-2329
US

IV. Provider business mailing address

401 E MILAM ST
MEXIA TX
76667-2329
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-2500
  • Fax: 254-562-2503
Mailing address:
  • Phone: 254-562-2500
  • Fax: 254-562-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number607087
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP114786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: