MEDICARE: CHRISTINE MCRAE 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

General Provider Information

NPI Number	:	1225080609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MCRAE PA-C

Provider Business Mailing Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY STE 300
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4277
Country	:	US
Telephone Number	:	972-792-7300
Fax Number	:	214-947-8607

Provider Business Practice Location Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY STE 300
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4277
Country	:	US
Telephone Number	:	972-792-7300
Fax Number	:	214-947-8607

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/17/2023

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Directions to “ CHRISTINE MCRAE PA-C” Practice Location

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