IndividualActive
Tracy Penn, P.A.-C
NPI 1083657480 · Medical Physician Assistant · Brady, TX
Provider details
- NPI number
- 1083657480
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA04795 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2010 Nine Road
Rehab. Center Frontera Healthcare Network, Inc.
Brady, TX 76825
Phone: (325) 597-0102
Fax: (325) 597-2939
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 989
Eden, TX 76837
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2013-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.