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Tracy Gustafson, M.D
NPI 1295035863 · on the registry since 2010 · sole proprietor
Practice
- Address
- 151 Rainbow Dr
Apt #5152
Livingston, TX 77399 - Phone
- (936) 933-9593
- Fax
- (281) 715-3202
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 2083P0901X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas