Individual
LACEY ANN HACKWORTH-ROTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6815 HILL CT, AZLE, TX 76020-5513
(903) 650-8939
Mailing address
5002 COWHORN CREEK ROAD, TEXARKANA, TX 75503
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1187990
TX
363L00000X
Nurse Practitioner
2024007853
MO
363L00000X
Nurse Practitioner
53-82956
KS
Other
Enumeration date
02/23/2024
Last updated
04/24/2026
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