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General NPI Number Information
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NPI Number | 1225478019
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Entity Type | Individual
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Provider Name | TRACY JO SNOW MILLS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 14202 S PADRE ISLAND DR STE A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-6030
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Country | US
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Telephone | 361-902-6170
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Fax | 361-902-6191
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Provider Business Mailing Address
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Address Line | 2900 SAINT MICHAEL DR STE 401
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City | TEXARKANA
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State | TX
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Zip | 75503-5211
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Country | US
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Telephone | 903-614-5372
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Fax | 903-614-5343
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DOS1748
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q9250
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License Number State | TX
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