| Doctor Name: | MRS. TRACY TEXTER |
| NPI Number: | 1073940896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704230316 |
| Business Practice Address: | 12851 W M 179 Hwy Wayland, MI - 493489318 |
| Business Phone Number: | 8773777322 |
| Business Fax Number: | 2699483117 |
| Mailing Address: | 1009 W Green St, HASTINGS |
| State: | MI |
| Postal Code: | 490581710 |
| Phone Number: | 2699451745 |
| Fax Number: | 2699483117 |
| NPI Enumeration Date: | 10/11/2013 |
| NPI Last Update Date: | 10/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704230316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |