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NPI Code Detail

MEDICARE: TRACI DESPLINTER M.D.

MEDICARE:   TRACI  DESPLINTER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianL4334TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18R1195OTHERTXBCBS OF TEXAS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31912956012OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1912956012
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI DESPLINTER M.D.
Provider Business Mailing Address
First Line : 18220 STATE HIGHWAY 249
Second Line : SUITE 400
City : HOUSTON
State : TX
Zip : 77070-4347
Country : US
Telephone Number : 281-737-1320
Fax Number : 281-737-1321
Provider Business Practice Location Address
First Line : 18220 STATE HIGHWAY 249 STE 475
Second Line :
City : HOUSTON
State : TX
Zip : 77070-1052
Country : US
Telephone Number : 281-737-1320
Fax Number : 281-737-1321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 08/04/2023

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Directions to “ TRACI DESPLINTER M.D.” Practice Location

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