Individual provider · NPI-1

Traci Burrell, NP

Clinic/Center, Mental Health (Including Community Mental Health Center) · Corpus Christi, TX

NPI number1568879401
StatusActive
Last updated in NPPESJul 11, 2014

Details

NPI
1568879401
Entity type
Individual (NPI-1)
Name
Traci Burrell
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2014
Last updated
Jul 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)8995619TNYes

Practice location

10651 E St
Attention Medical Staff Services Office
Corpus Christi, TX 78419-5130

Phone 361-961-2273

Mailing address

10651 E St
Corpus Christi, TX 78419-5130

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