MEDICARE: TRACEY REBECCA WRIGHT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA20076	TX

General Provider Information

NPI Number	:	1093523433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY REBECCA WRIGHT PA-C

Provider Business Mailing Address
First Line	:	8780 COLLIN MCKINNEY PKWY STE 100
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2417
Country	:	US
Telephone Number	:	469-663-8838
Fax Number	:	469-472-0861

Provider Business Practice Location Address
First Line	:	8780 COLLIN MCKINNEY PKWY STE 100
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2417
Country	:	US
Telephone Number	:	469-663-8838
Fax Number	:	469-472-0861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	02/23/2026

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