Jeannette R Rackham in Grand Prairie - Physician Assistant
Jeannette R Rackham - NPI 1003878844
Jeannette R Rackham is a Physician Assistant in Grand Prairie, Texas. Jeannette R Rackham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeannette R Rackham is 1003878844. The last update date is 2012-12-26.
Jeannette R Rackham's current location address is 5551 Clay Ct, Grand Prairie, Texas. You can contact this provider via phone number 2547027665. The mailing address for Jeannette R Rackham is 5551 Clay Ct, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannette R Rackham |
|---|---|
| Address | 5551 Clay Ct, Grand Prairie, Texas |
| Phone Number | 2547027665 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003878844 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-12-26 |
Provider Mailing Address Detail
| Address | 5551 Clay Ct |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750520705 |
| Phone Number | 2547027665 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03203 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181488102 | TX | -- | |
| 8N9119 | TX | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeannette R Rackham by the Centers for Medicare & Medicaid Services?
The Jeannette R Rackham has been assigned the NPI (National Provider Identifier) 1003878844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeannette R Rackham's facilities are geographically located?
The facilities of Jeannette R Rackham are physically situated at the following location: 5551 Clay Ct, Grand Prairie, TX, 750520705.
What is Jeannette R Rackham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeannette R Rackham's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Jeannette R Rackham's 1003878844 issued?
The Jeannette R Rackham's 1003878844 was issued on 2006-04-05.
As of what date was the information regarding Jeannette R Rackham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeannette R Rackham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-26.