MEDICARE: RACHEL BOYSEN TRINH 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	PA14159	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760075238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BOYSEN TRINH PA-C

Provider Business Mailing Address
First Line	:	9721 BROADWAY ST STE 111
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8170
Country	:	US
Telephone Number	:	713-436-3637
Fax Number	:	713-436-3639

Provider Business Practice Location Address
First Line	:	9721 BROADWAY ST STE 111
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8170
Country	:	US
Telephone Number	:	713-436-3637
Fax Number	:	713-436-3639

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

Provider Enumeration Date	:	02/16/2021
Last Update Date	:	05/15/2025

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Directions to “ RACHEL BOYSEN TRINH PA-C” Practice Location

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