Gustafson, Tracy Lee

Gustafson, Tracy Lee is an sole proprietor health care provider with primary practice located at 151 Rainbow Dr Apt #5152, Livingston TX 77399-1571. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gustafson, Tracy Lee can be contacted via phone (936) 933-9593.

Contact Information

Primary practice address
151 Rainbow Dr Apt #5152 Livingston TX 77399-1571
Phone: (936) 933-9593
Fax: (281) 715-3202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G2143 Texas
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G2143 Texas

Profile Details

NPI number 1295035863
LBN Legal business name Gustafson, Tracy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2010
Last updated Apr 13th, 2014 - 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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