TRACIE DALENE UPDIKE

PORT ARTHUR, TX
NPI1629070750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  J4577)
Enumeration Date2005-06-01
Last Update Date2007-07-12
Business Address
-- TRACIE DALENE UPDIKE M.D.
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642-5516
Phone number: 409-983-1899
Mailing Address
-- TRACIE DALENE UPDIKE M.D.
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642-5516
Phone number: 409-983-1899