Tracy C Crnic MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L5710 Issued in TX

Legal business name

TRACY C CRNIC MD PA

Practice address

603 Quail Creek Drive
Suite 100
Amarillo, TX 79124-1645

Phone

(806) 331-2020

Fax

(806) 331-2023

NPI assigned

Apr 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Crnic, MD

Title

President

Phone

(806) 331-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1932425709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 QUAIL CREEK DRIVE",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241645",
            "telephone_number": "806-331-2020",
            "fax_number": "806-331-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 QUAIL CREEK DRIVE",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241645",
            "telephone_number": "806-331-2020",
            "fax_number": "806-331-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY C CRNIC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "CRNIC",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-331-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI INDIVIDUAL",
            "identifier": "159256006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "TXB102380",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214649001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Enhancement Therapy Inc.
• Total Womens Care, PA
• Douglas V Toulouse, CRNA
• Town Square Emergency Associates PLLC
• Mary J. Townsend, M.D.
• Shelli D. Tracy, FNP
• David Heath Trahan, MD
• Taylor Thuy Tran, PHARMD
• Thomas Tran
• Madeline Trapp, RD

• Ophthalmology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.