Provider Demographics
NPI:1568660728
Name:HOOS, TRACY ALAN II (DO)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:ALAN
Last Name:HOOS
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:904 W. OKMULGEE
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-6841
Mailing Address - Country:US
Mailing Address - Phone:918-521-5926
Mailing Address - Fax:918-205-8833
Practice Address - Street 1:904 W. OKMULGEE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-6841
Practice Address - Country:US
Practice Address - Phone:918-910-7991
Practice Address - Fax:918-205-8833
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4648208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics