Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | Q6965 | TX |
N | 207Q00000X | Family Doctor | 4927 | OK |
Y | 207Q00000X | Family Doctor | Q6965 | TX |
NPI | 1013229509 |
---|---|
Provider Name | Rachael Lee Mccracken |
First Address | Ramona, OK 74061-0000 |
Second Address | Ramona, OK 74061-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 18/03/2021 |