Individual
TRACY MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208297
TX
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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