Provider Demographics
NPI:1780209437
Name:BROWN DORSEY, TRACY RHYNEE (ND)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:RHYNEE
Last Name:BROWN DORSEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 WINNING COLORS DR
Mailing Address - Street 2:
Mailing Address - City:WILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75172-2336
Mailing Address - Country:US
Mailing Address - Phone:214-455-8256
Mailing Address - Fax:
Practice Address - Street 1:4711 WESTSIDE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-6021
Practice Address - Country:US
Practice Address - Phone:972-890-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath