Boutaugh, Rachel

Boutaugh, Rachel is an individual health care provider with primary practice located at 920 Santa Fe Dr , Weatherford TX 76086-5864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boutaugh, Rachel can be contacted via phone (817) 759-7000.

Contact Information

Primary practice address
920 Santa Fe Dr Weatherford TX 76086-5864
Phone: (817) 759-7000
Fax: (817) 759-7027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP134895 Texas

Profile Details

NPI number 1235643990
LBN Legal business name Boutaugh, Rachel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Dec 17th, 2020 - about 6 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 1235643990 NPPES
Texas MEDICAID 382658801
Texas MEDICAID 382658802

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