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1114429495
RANDALL SCOTT TRACY
FORT WORTH, TX
NPI
1114429495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP135853)
Enumeration Date
2018-03-02
Last Update Date
2018-06-16
Business Address
RANDALL SCOTT TRACY NP-C MSN CNOR RNFA
1800 PARK PLACE AVE
FORT WORTH, TX 76110-1302
Phone number: 682-703-5600
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Mailing Address
RANDALL SCOTT TRACY NP-C MSN CNOR RNFA
533 RIVERBED DR
CROWLEY, TX 76036-3543
Phone number: 682-812-0270
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