Traci Bennett

NPI 1427547363 · on the registry since 2018

Practice

Address: 1307 8th Ave Ste 310
Fort Worth, TX 76104
Phone: (817) 851-2042
Organisation at this address: Idmdtx, Pllc
Lee-Shah Lllp
Vma Partners Llc
Owen C. Dewitt, Md
Alliance Kids Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas