Individual
DR. TRACY HAYMANN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 COIT RD, SUITE # 205, FRISCO, TX 75035-0500
(972) 377-6553
(972) 377-6453
Mailing address
555 REPUBLIC DR, SUITE #460, PLANO, TX 75074-5481
(972) 644-2819
(972) 680-2949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L4362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150768301
—
TX
Enumeration date
08/11/2005
Last updated
01/04/2022
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