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Individual

DR. JOHN TIMOTHY TRACY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-6226
(817) 922-7071
Mailing address
6101 REMINGTON PKWY, COLLEYVILLE, TX 76034-7603
(817) 656-5759

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H2844
TX

Other

Enumeration date
06/01/2006
Last updated
07/08/2007
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