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Tracy Clagg
NPI 1588984462 · on the registry since 2010 · sole proprietor
Practice
- Address
- 108 Ne 28th St
Fort Worth, TX 76164 - Phone
- (817) 378-0527
- Fax
- (817) 378-0535
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-02
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