Individual
TRACY HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4701 BOAT CLUB ROAD, SUITE 200, FORT WORTH, TX 76135-7002
(817) 237-0515
Mailing address
4701 BOAT CLUB ROAD, SUITE 200, FORT WORTH, TX 76135-7002
(817) 237-0515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN165107
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
1000061
TX
Other
Enumeration date
12/04/2015
Last updated
03/01/2022
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