Individual
DR. TRACY TURNER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
903 DELAWARE ST, SHREVEPORT, LA 71106-1503
(318) 218-5645
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
136392
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
1137442
TX
Other
Enumeration date
12/30/2021
Last updated
12/26/2023
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