Rackley, Tanya Marie

Rackley, Tanya Marie is an sole proprietor health care provider with primary practice located at 1345 Alamo Ranch Pkwy Ste 203, San Antonio TX 78253-6440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rackley, Tanya Marie can be contacted via phone (210) 767-4000.

Contact Information

Primary practice address
1345 Alamo Ranch Pkwy Ste 203 San Antonio TX 78253-6440
Phone: (210) 767-4000
Fax: (210) 688-9418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP10021876 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M8267 Texas

Profile Details

NPI number 1184803090
LBN Legal business name Rackley, Tanya Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2007
Last updated Jan 2nd, 2017 - about 9 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 1184803090 NPPES
Texas MEDICAID 215387605

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