Antill, Tracey A

Antill, Tracey A is an individual health care provider with primary practice located at 301 Medic Ln , Alvin TX 77511-5542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Antill, Tracey A can be contacted via phone (281) 331-6141.

Contact Information

Primary practice address
301 Medic Ln Alvin TX 77511-5542
Phone: (281) 331-6141
Fax: (281) 331-3316
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K2308 Texas

Profile Details

NPI number 1497730303
LBN Legal business name Antill, Tracey A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 30th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497730303 NPPES
Texas Other 1497730303 TRICARE SOUTH
Texas MEDICAID 131166408 TRICARE SOUTH
Texas Other 8F9296 TRICARE SOUTH
Texas MEDICAID 131166409 TRICARE SOUTH

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