MEDICARE: DR. MICHAEL JOHN RACS DO

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	207Q00000X	Family Medicine Physician	T1182	TX

General Provider Information

NPI Number	:	1285926048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN RACS DO

Provider Business Mailing Address
First Line	:	601 HWY 110 N
Second Line	:
City	:	WHITEHOUSE
State	:	TX
Zip	:	75791-3037
Country	:	US
Telephone Number	:	903-839-1775
Fax Number	:	903-839-1788

Provider Business Practice Location Address
First Line	:	601 HWY 110 N
Second Line	:
City	:	WHITEHOUSE
State	:	TX
Zip	:	75791-3037
Country	:	US
Telephone Number	:	903-839-1775
Fax Number	:	903-839-1788

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	06/22/2022

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