Individual
MRS. TRACY ANN CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-7878
Mailing address
506 WATERS EDGE WAY, MURPHY, TX 75094-4383
(972) 941-6827
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
678949
TX
Other
Enumeration date
11/05/2005
Last updated
07/08/2007
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