TRACY A. PENN P.A.-C
NPI 1083657480
Physician Assistant - Medical in Brady, TX

Q: What is Tracy Penn's NPI number?

The NPI number for Tracy Penn is 1083657480. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Miss Tracy Ann Crawford.

Q: What is Tracy Penn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Penn was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2006

2010 NINE ROAD, REHAB. CENTER FRONTERA HEALTHCARE NETWORK, INC., BRADY, TX 76825(325) 597-0102(325) 597-2939 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracy A. Penn P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY A. PENN P.A.-C (NPI 1083657480) is an individual medical provider in Brady, Texas, licensed in Texas (PA04795) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1083657480

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTRACY A. PENNCredential: P.A.-C

Location Address2010 NINE ROAD, REHAB. CENTER FRONTERA HEALTHCARE NETWORK, INC.Brady, TX 76825

Mailing AddressP.o. Box 989, 604 Eaker St. Frontera Healthcare Network, Inc.Eden, TX 76837 · (325) 869-5500 · Fax (325) 869-5692

Phone(325) 597-0102

Fax(325) 597-2939

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateMay 9, 2013

✔ NPI 1083657480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA04795

2010 NINE ROAD, Brady, TX 76825

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Other Names 1

Former Name (1)Miss Tracy Ann Crawford

Other Identifiers 2

Medicare UPIN07172

Medicare UPINQ7172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Penn's NPI number?

The NPI number for Tracy Penn is 1083657480. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Miss Tracy Ann Crawford.

Where is Tracy Penn located?

Tracy Penn practices at 2010 Nine Road Rehab. Center Frontera Healthcare Network, Inc., Brady, TX 76825. The listed phone number is (325) 597-0102.

What is Tracy Penn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tracy Penn was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.