Provider Demographics
NPI:1518744291
Name:SEK, TRACIE THUY (CRNA)
Entity Type:Individual
Prefix:
First Name:TRACIE
Middle Name:THUY
Last Name:SEK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:TRACIE
Other - Middle Name:
Other - Last Name:SEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2530 MALLORCA CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-3414
Mailing Address - Country:US
Mailing Address - Phone:832-235-3253
Mailing Address - Fax:
Practice Address - Street 1:9525 KATY FWY STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1476
Practice Address - Country:US
Practice Address - Phone:713-400-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1135844367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered