TRACY MARE POWELL PA-C NPI 1043797954

NPI Information

NPI: 1043797954
Provider Name: TRACY MARE POWELL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-3111
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Tracy Mare Powell, PA-C is a surgical physician assistant in Dallas, TX with 3 years of experience. Tracy Mare Powell, PA-C NPI is 1043797954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-792
Phone: (214) 648-3111

The NPI 1043797954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363AS0400X	Physician Assistant	Surgical	PA15828	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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