Tla Health Services

NPI 1275924680 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1275924680
Enumeration Date 02/08/2015
Last Updated 02/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TRACE LAWRENCE TRACE
Position OWNER
Phone (972) 899-9797
Fax (972) 612-5410
Practice Location
5425 W SPRING CREEK PKWY STE 100
PLANO TX, 75024-4268, US
Phone (972) 899-9797
Fax (972) 612-5410
Business Location
PO BOX 118917
CARROLLTON TX, 75011-8917, US
Phone (972) 899-9797
Fax (972) 899-1825
Toxanomy
Taxonomy Code 363LF0000X
License State Texas
License Number AP126290
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According to our database, Tla Health Services NPI is 1275924680, taxonomy code is 363LF0000X and license number is AP126290, license state is located at Texas. Tla Health Services physically located at 5425 W Spring Creek Pkwy Ste 100, Plano TX, 75024-4268. NPI Number 1033115704 has the healthcare provider type.

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1275924680 NPI number is provided on an as is basis without warranty of any kind. 1275924680 is maintained by the National Plan & Provider Enumeration System. The contents of Tla Health Services are for informational purposes only.