| Doctor Name: | TRACY HANCOCK |
| NPI Number: | 1093816274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 651121 |
| Business Practice Address: | 4401 Garth Rd Baytown, TX - 77521 |
| Business Phone Number: | 2814208600 |
| Business Fax Number: | 2818378282 |
| Mailing Address: | Po Box 62022, HOUSTON |
| State: | TX |
| Postal Code: | 77205 |
| Phone Number: | 6167340335 |
| Fax Number: | 6169498540 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 651121 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |