MEDICARE: DOC MCCRACKIN, PLLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1104642511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOC MCCRACKIN, PLLC

Provider Business Mailing Address
First Line	:	8714 SPRING CYPRESS RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3396
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8714 SPRING CYPRESS RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3396
Country	:	US
Telephone Number	:	346-808-7084
Fax Number	:	346-740-1927

Authorized Official
Title or Position	:	OWNER/PRIMARY PROVIDER
Name	:	DR. HEATHER NICOLE MCCRACKIN
Credential	:	FNP
Telephone Number	:	281-323-0092

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	03/18/2025

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