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Individual

DR. JOSEPH TRACY BLEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4215 JOE RAMSEY BLVD, EMERGENCY DEPARTMENT, GREENVILLE, TX 75402
(903) 408-1260
Mailing address
4060 TRACY LN, GREENVILLE, TX 75402-5496
(903) 883-5309

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084PT
BLUE CROSS BLUE SHIELD
TX
05
127412804
TX
05
127412813
TX
05
39877256
NM
01
8BX882
BCBS
TX
01
P00802511
RAILROAD
TX
Enumeration date
07/25/2006
Last updated
10/29/2010
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