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Individual

TRACI THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
213 HUNTERS VLG, NEW BRAUNFELS, TX 78132-4764
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208354, DALLAS, TX 75320-8354
(512) 485-7208
(844) 364-8678

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1072751
TX
363LF0000X
Family Nurse Practitioner
845457
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2C3564
TEXAS MEDICARE
TX
Enumeration date
03/07/2022
Last updated
03/09/2023
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