Individual
MISS TRACEY NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPO
Contact information
Practice address
15301 SPECTRUM DR, SUITE #175, ADDISON, TX 75001-4665
(972) 980-9660
(972) 980-9313
Mailing address
15301 SPECTRUM DR, SUITE #175, ADDISON, TX 75001-4665
(972) 980-9660
(972) 980-9313
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1235
TX
224P00000X
Prosthetist
1235
TX
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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