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Individual

TRACY A ROBILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
6309 PRESTON RD, SUITE 1200, PLANO, TX 75024-2741
(972) 424-8999
Mailing address
6309 PRESTON RD., SUITE 1200, PLANO, TX 75024-2741
(972) 424-8999

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
T42-2012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
346195601
TX
05
346195602
TX
01
P01488337
RAILROAD MEDICARE
Enumeration date
07/24/2012
Last updated
08/25/2015
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