Individual
TRACY BADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2506 BIGGS ST, 37 MDG/SGHI, SAN ANTONIO, TX 78236-5300
(210) 671-0979
Mailing address
2506 BIGGS ST, 37 MDG/SGHI, SAN ANTONIO, TX 78236-5300
(210) 671-0979
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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