| Tracy Wilson, Dc Pa | |
|
8004 Abbeville Ave Lubbock TX 79424-2806 | |
| (806) 722-3533 | |
| (806) 687-6895 |
| Full Name | Tracy Wilson, Dc Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 8004 Abbeville Ave, Lubbock, Texas |
| Authorized Official Name and Position | Tracy D Wilson (CEO) |
| Authorized Official Contact | 8067223533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Wilson, Dc Pa 8004 Abbeville Ave Lubbock TX 79424-2806 Ph: (806) 722-3533 | Tracy Wilson, Dc Pa 8004 Abbeville Ave Lubbock TX 79424-2806 Ph: (806) 722-3533 |
| NPI Number | 1962698944 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 2264499342 |
|---|---|
| Medicare Enrollment ID | O20041210000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962698944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8754 (Texas) | Primary |
| Provider Name | Tracy D Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578636742 PECOS PAC ID: 9234190604 Enrollment ID: I20041020000457 |
| Provider Name | Elizabeth S Bush |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649940602 PECOS PAC ID: 2466840608 Enrollment ID: I20211021000269 |
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