Organization
DR TRACEY L YOTHERS, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY L YOTHERS O.D. (OPTOMETRIST)
(972) 298-7249
Entity
Organization
Contact information
Practice address
535 W WHEATLAND RD, DUNCANVILLE, TX 75116-4515
(972) 298-7249
(972) 298-6740
Mailing address
535 W WHEATLAND RD, DUNCANVILLE, TX 75116-4515
(972) 298-7249
(972) 298-6740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5168TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356404008
INDIVIDUAL PRACTIONER NPI
TX
Enumeration date
07/16/2007
Last updated
07/16/2007
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