Individual
TRACY DAWN PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(844) 424-4537
Mailing address
1404 E CENTRAL AVE, TEMPLE, TX 76501-4645
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP134434
TX
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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