Organization
RECONCILE CARE MANAGEMENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI L JOHNSON RN CCM (PRESIDENT/OWNER)
(682) 556-8472
Entity
Organization
Contact information
Practice address
2541 CLEARLAKE DR, GRAND PRAIRIE, TX 75054-6824
(682) 556-8472
Mailing address
2541 CLEARLAKE DR, GRAND PRAIRIE, TX 75054-6824
(682) 556-8472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776453
TX
163WA2000X
Administrator Registered Nurse
776453
TX
163WC0400X
Case Management Registered Nurse
Primary
776453
TX
163WC1500X
Community Health Registered Nurse
776453
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
776453
TX
163WG0600X
Gerontology Registered Nurse
776453
TX
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
776453
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
776453
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
776453
TN
163WX0106X
Occupational Health Registered Nurse
776453
TX
Other
Enumeration date
06/13/2016
Last updated
06/14/2016
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