| NPI | 1417834110 |
|---|---|
| Other Name | DOCTOR TRACIS HOUSE |
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN THOMPSON CEO 813-510-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 251V00000X Voluntary or Charitable | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-11-20 |