Individual
TRACY MARCEL HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 LEISURE DR, CEDAR HILL, TX 75104-3115
(214) 931-6177
Mailing address
425 LEISURE DR, CEDAR HILL, TX 75104-3115
(214) 931-6177
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
09667795
TX
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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