Provider Demographics
NPI:1689107385
Name:STONE, TRACY ANN (NP)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:ANN
Last Name:STONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5605 N MACARTHUR BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2693
Mailing Address - Country:US
Mailing Address - Phone:888-562-5442
Mailing Address - Fax:
Practice Address - Street 1:4243 E SOUTHCROSS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3739
Practice Address - Country:US
Practice Address - Phone:210-337-4316
Practice Address - Fax:210-337-4380
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP133578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily