Tracy Leach
Nurse Practitioner - Neonatal (Critical Care)
707 Hollybrook Dr
Longview
, Texas 75605-2410
Tracy Leach
Nurse Practitioner - Neonatal (Critical Care)
707 Hollybrook Dr
Longview
, Texas 75605-2410
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Tracy Leach
- 707 Hollybrook Dr
- Longview, TX
- Zip : 75605-2410
- Phone :
Second Address
- Tracy Leach
- 707 Hollybrook Dr
- Longview, TX
- Zip : 75605-2410
- Phone : (903) 757-6042
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP124269 | TX |
National Provider Identifier
| NPI | 1144662032 |
|---|---|
| Provider Name | Tracy Leach |
| First Address | Longview, TX 75605-2410 |
| Second Address | Longview, TX 75605-2410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2013 |
| Last Update Date | 19/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 325841004 | (05) | TX |
| 75-2616977-042 | TRICARE (01) | TX |
| 8401MC | BCBS (01) | TX |
| P01813068 | RAIL ROAD MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.