Tracy Main, LPC

NPI 1720352784 · on the registry since 2012

Practice

Address: 18838 Stone Oak Pkwy Ste 201
San Antonio, TX 78258
Phone: (210) 384-1254
Organisation at this address: Evodent Dental Pllc
Anand G. Shah, Md, Pa
Little Bloom Pediatric Physical Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-02-17

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