Craig, Traci

Craig, Traci is an individual health care provider with primary practice located at 345 Stone Ave , Paris TX 75460-9309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Craig, Traci can be contacted via phone (903) 280-7716.

Contact Information

Primary practice address
345 Stone Ave Paris TX 75460-9309
Phone: (903) 280-7716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 763673 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP129199 Texas

Profile Details

NPI number 1720457609
LBN Legal business name Craig, Traci
Credentials PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Sep 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720457609 NPPES
Texas MEDICAID 1720457609

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