Provider Demographics
NPI:1124222021
Name:SEARCY, TRACY LYNN (HIS)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:LYNN
Last Name:SEARCY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6532 EAST 71ST STREET
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133
Mailing Address - Country:US
Mailing Address - Phone:918-394-4327
Mailing Address - Fax:918-392-5669
Practice Address - Street 1:6532 E 71ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2764
Practice Address - Country:US
Practice Address - Phone:918-394-4327
Practice Address - Fax:918-392-5669
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK00944174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist