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Individual
TRACY THU TAM THAI
Active
Individual
TRACY THU TAM THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9520T
TX
152W00000X
Optometrist
Primary
9520TG
TX
Other
Enumeration date
07/01/2018
Last updated
11/12/2020
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