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Organization
DR TRACIS HOUSE
Active
Organization
DR TRACIS HOUSE
Active
Other names
Doctor Tracis House
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI LYNN THOMPSON (CEO)
(813) 510-5105
Entity
Organization
Contact information
Practice address
904 E HENRY AVE, TAMPA, FL 33604-7143
(813) 510-5105
Mailing address
904 E HENRY AVE, TAMPA, FL 33604-7143
(813) 510-5105
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
08/18/2025
Last updated
11/20/2025
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