Individual
TRACY L SOWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS
Contact information
Practice address
10401 ANDERSON MILL RD STE 110B, AUSTIN, TX 78750
(512) 250-5571
(512) 406-7300
Mailing address
6210 E HIGHWAY 290 STE 420, AUSTIN, TX 78723-1098
(125) 486-9569
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
681739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196973501
—
TX
05
—
196973502
—
TX
05
—
196973504
—
TX
05
—
196973505
—
TX
05
—
196973506
—
TX
05
—
196973507
—
TX
Enumeration date
05/07/2008
Last updated
03/21/2019
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