Henderson, Tracy Hamblin

Henderson, Tracy Hamblin is an individual health care provider with primary practice located at 110 Mary Lou Drive Suite 100, Willow Park TX 76087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Henderson, Tracy Hamblin can be contacted via phone (817) 930-2030.

Contact Information

Primary practice address
110 Mary Lou Drive Suite 100 Willow Park TX 76087
Phone: (817) 930-2030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X T8117 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60450293 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X T8117 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X T8117 Texas

Profile Details

NPI number 1073839817
LBN Legal business name Henderson, Tracy Hamblin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2010
Last updated Jan 10th, 2024 - about 8 months 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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