Jack Healy Tracy
Jack Healy Tracy is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5323 Harry Hines BlvdDallas, TX 75390-9006
Phone: (214) 648-2168
Fax: (214) 648-7517
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1093494932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2023 |
| Last updated in NPPES | July 17, 2023 |
| Certification date | July 17, 2023 |
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Aaron Towler
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Annika Rose Tracy
5323 Harry Hines Blvd, Dallas, TX 75390-9006 · (214) 648-2168
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Aidan Nam Saysamone Tran
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