Individual
TRACY A. PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2010 NINE ROAD, REHAB. CENTER FRONTERA HEALTHCARE NETWORK, INC., BRADY, TX 76825
(325) 597-0102
(325) 597-2939
Mailing address
P.O. BOX 989, 604 EAKER ST. FRONTERA HEALTHCARE NETWORK, INC., EDEN, TX 76837
(325) 869-5500
(325) 869-5692
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04795
TX
Other
Enumeration date
06/14/2006
Last updated
05/09/2013
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