Individual provider · Type 1 NPI
Tracy A. Penn, P.A.-C
Medical Physician Assistant · Brady, TX
NPI number
1083657480
Active
Practice location
2010 Nine Road, Rehab. Center Frontera Healthcare Network, Inc.
Brady, TX 76825
Fax (325) 597-2939
Mailing address
P.o. Box 989, 604 Eaker St. Frontera Healthcare Network, Inc.
Eden, TX 76837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA04795 (TX) |
Medical Physician Assistant: Definition to come...
About NPI 1083657480
Tracy A. Penn, P.A.-C's National Provider Identifier is 1083657480, issued on Jun 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brady, TX. The record was last updated on May 9, 2013.