Thigpen, Tracy L

Thigpen, Tracy L is an individual health care provider with primary practice located at 6825 S Fry Rd Ste 1200 , Katy TX 77494-8340. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thigpen, Tracy L can be contacted via phone (281) 395-3044.

Contact Information

Primary practice address
6825 S Fry Rd Ste 1200 Katy TX 77494-8340
Phone: (281) 395-3044
Fax: (281) 395-3040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133054 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19418 California

Profile Details

NPI number 1427204981
LBN Legal business name Thigpen, Tracy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Oct 22nd, 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 1427204981 NPPES
California MEDICAID EFF.4/9/13-RIALTO
California MEDICAID FONTANA-EFF.6/4/13
California Other P01282962/DU4034
California MEDICAID EFF: 5/3/2012

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