Individual
RACHEL LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4214 ANDREWS HWY STE 103, MIDLAND, TX 79703-4815
(432) 221-1301
(432) 221-1307
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6600
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754914
TX
363L00000X
Nurse Practitioner
Primary
AP131373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079837301
—
TX
01
—
793339
TX MEDICARE
TX
Enumeration date
04/25/2016
Last updated
06/15/2023
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