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NPI Code Detail

MEDICARE: RACHAEL TUCKER AGACNP-BC, FNP-BC

MEDICARE: RACHAEL TUCKER AGACNP-BC, 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
1363L00000XNurse Practitioner1115699TX

General Provider Information

NPI Number : 1861278475
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL TUCKER AGACNP-BC, FNP-BC
Provider Business Mailing Address
First Line : 9101 CAPE COD BLVD
Second Line :
City : AUBREY
State : TX
Zip : 76227-1733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 06/09/2026

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