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Individual
TRACY LYNN CARTER
Active
Individual
TRACY LYNN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L2173
TX
208000000X
Pediatrics Physician
L2173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149550902
—
TX
05
—
149550903
—
TX
05
—
149550904
—
TX
Enumeration date
07/11/2006
Last updated
06/05/2021
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