JACK TRACY

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1093494932

Practice Address

5323 HARRY HINES BLVD
Dallas, TX 75390

Phone: (214) 648-2168

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1093494932 is the National Provider Identifier for JACK TRACY, a Student in an Organized Health Care Education/Training Program provider located in Dallas, TX. This NPI was enumerated on July 17, 2023.
JACK TRACY practices at 5323 HARRY HINES BLVD, Dallas, TX 75390.

Quick Facts

NPI
1093494932
Type
Individual
Enumerated
Jul 17, 2023
Last Updated
Jul 17, 2023

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