Mcleland, Tracy Sue

Mcleland, Tracy Sue is an sole proprietor health care provider with primary practice located at 5316 Trail Lake Dr , Fort Worth TX 76133-1931. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mcleland, Tracy Sue can be contacted via phone (817) 292-8787.

Contact Information

Primary practice address
5316 Trail Lake Dr Fort Worth TX 76133-1931
Phone: (817) 292-8787
Fax: (817) 789-6489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 203355 Texas

Profile Details

NPI number 1386924900
LBN Legal business name Mcleland, Tracy Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 14 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 1386924900 NPPES
Texas MEDICAID 207164901
Texas MEDICAID 149984001

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