MEDICARE: RACHEL BAHR FNP-BC

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	363LF0000X	Family Nurse Practitioner	AP138956	TX

General Provider Information

NPI Number	:	1508323031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BAHR FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	682-885-1860
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 8TH AVE STE 600
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2597
Country	:	US
Telephone Number	:	682-303-0376
Fax Number	:

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

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	04/13/2021

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