Burger, Tracy M
Burger, Tracy M is an individual health care provider with primary practice located at 3840 Hulen St Htn, Fort Worth TX 76107-7277. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Burger, Tracy M can be contacted via phone (817) 569-4300.Contact Information
Primary practice address
3840 Hulen St Htn
Fort Worth TX 76107-7277
Phone: (817) 569-4300
Fax: (817) 569-4517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 51510 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 19092 | Texas |
Profile Details
| NPI number | 1811221021 |
|---|---|
| LBN Legal business name | Burger, Tracy M |
| Credentials | MS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Jul 17th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811221021 | NPPES |
| Texas | Other | 82S528 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 210765805 | BLUE CROSS BLUE SHIELD |
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