Forrest, Traci Elaine

Forrest, Traci Elaine is an individual health care provider with primary practice located at 1340 Wonder World Dr Ste 4301 , San Marcos TX 78666-7695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Forrest, Traci Elaine can be contacted via phone (512) 353-6400.

Contact Information

Primary practice address
1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695
Phone: (512) 353-6400
Fax: (512) 353-3039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X AP112909 Texas

Profile Details

NPI number 1295755965
LBN Legal business name Forrest, Traci Elaine
Credentials CNS APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 11th, 2024 - about 5 months 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 1295755965 NPPES
Texas MEDICAID 171196203
Texas Other 1L1345
Texas Other Q00015636

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