# TRACC, PA

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

## Provider details

- **NPI number:** 1619928223
- **Authorized official:** DR. DAVID C SMITH M.D. (PRESIDENT)
- **Authorized official phone:** (817) 332-9957

## Contact information

- **Practice address:** 757 8TH AVE STE 1, FORT WORTH, TX 76104-2522
- **Practice address phone:** (817) 332-9957
- **Practice address fax:** (817) 336-3130
- **Mailing address:** PO BOX 1559, GRANBURY, TX 76048-8559
- **Mailing address phone:** (817) 332-9957
- **Mailing address fax:** (817) 336-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 079753201 | — | TX |