Individual
TRACY HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521
(281) 420-8600
(281) 837-8282
Mailing address
PO BOX 62022, HOUSTON, TX 77205
(616) 734-0335
(616) 949-8540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
175804
CO
363LA2100X
Acute Care Nurse Practitioner
651121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88379779
—
CO
01
—
8N7769
BCBS
—
Enumeration date
09/26/2006
Last updated
04/11/2008
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