# TRACEY R ADAMS MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275866923
- **Authorized official:** ANGELA MILLER (MANAGER)
- **Authorized official phone:** (409) 673-7103

## Contact information

- **Practice address:** 2301 S HAMPTON RD, STE 800, DALLAS, TX 75224-1650
- **Practice address phone:** (214) 534-8913
- **Mailing address:** 1409 BAY MEADOWS DR, SOUTHLAKE, TX 76092-3939
- **Mailing address phone:** (214) 534-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | J8193 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 09/14/2009