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Individual

MR. TRAQCEY HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
1204 TERRACE VIEW DR, FORT WORTH, TX 76108-6973
(817) 938-1425
Mailing address
1204 TERRACE VIEW DR, FORT WORTH, TX 76108-6973
(817) 938-1425

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
116927
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116927
NBSTSA
Enumeration date
10/05/2010
Last updated
10/05/2010
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