Tracy Lynn Starr
Individual provider Active NPI Licensed Vocational Nurse · Cisco, TX
NPI 1003317561 · NPPES record last updated Feb 21, 2018
Key facts
- NPI
- 1003317561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 220771 (TX)
- Practice address
- 608 E 21St St
Cisco, TX 76437-5204 - Phone
- (254) 631-7417
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220771 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 220771 | TX | Yes |
Addresses
Primary practice location
608 E 21St St
Cisco, TX 76437-5204
Mailing address
608 E 21St St
Cisco, TX 76437-5204
Other providers in Cisco, TX
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- Kristy Ann Rose
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- Molly Leandra Stennett
- Charles Nevin Stephenson
- Ruth Schaefer Stewart
- Aeriole Nichole Stogner
- Wanda Stogner
All providers in Cisco, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.