Most Relevant Information
Provider Data
| NPI Number: | 1003257122 |
| Provider Name: | TRACY CLEARY |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0600X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | CNIM2102 |
Most Important Dates
| Enumeration Date: | 07/17/2013 |
| Last Updated: | 07/17/2013 |
Provider Practice Location
1207 RUNNING BEAR TRL
CROSBY
TX
775323618
Practice Location Phone/Fax
| Phone: | 2814627684 |
| Fax: |
Provider Mailing Location
PO BOX 1651
CROSBY
TX
775321651
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |