Tracey Carter
Contractor in Austin, TX. Individual provider (NPI-1).
NPI number1073042909
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1073042909
- Entity type
- Individual (NPI-1)
- Name
- Tracey Carter
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2017
- Last updated
- Jun 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
12345 Lamplight Village Ave Apt 127Austin, TX 78758-2551
Phone 512-590-0603
Mailing address
12345 Lamplight Village Ave Apt 127Austin, TX 78758-2551
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