Tracy, Kary

Tracy, Kary is an individual health care provider with primary practice located at 210 Lake Rd , Lake Jackson TX 77566-4982. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tracy, Kary can be contacted via phone (979) 258-7247.

Contact Information

Primary practice address
210 Lake Rd Lake Jackson TX 77566-4982
Phone: (979) 258-7247
Fax: (979) 258-7247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 110745 Texas

Profile Details

NPI number 1285604983
LBN Legal business name Tracy, Kary
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 28th, 2022 - about 2 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 1285604983 NPPES
Texas Other 8T1101 BCBS
Texas Other 8F8504 BCBS
Texas MEDICAID 091740301 BCBS

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