Individual
TRACY BERNARD SUBLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 IVY WOOD LN, FT WORTH, TX 76115-4037
(817) 657-3586
Mailing address
2424 M0RESBYST, FT WORTH, TX 76105-5219
(817) 657-3586
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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