Healthcare Provider Details

I. General information

NPI: 1093592610
Provider Name (Legal Business Name): TRACY GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 DALLAS PKWY
FRISCO TX
75034-9580
US

IV. Provider business mailing address

145 E 50TH ST RM 7A
NEW YORK NY
10022-9502
US

V. Phone/Fax

Practice location:
  • Phone: 469-515-7100
  • Fax:
Mailing address:
  • Phone: 832-544-2868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: