Organization · Type 2 NPI

Tracrw LLC H

Clinic/Center · Memphis, TN

NPI number 1548550320 Active

Practice location

1325 Eastmoreland Ave
Memphis, TN 38104-3519

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

39 other providers at this address

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NPI record

NPI: 1548550320
Entity type: Organization (Type 2)
Issued: Apr 13, 2011
Last updated: Apr 13, 2011
Status: Active
Subpart: Yes of Charles R Wallace MD

Other names

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Treatment Rooms of America CRWH · doing business as

Authorized official

Dr. Charles R Wallace, MD
President
(901) 272-3200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548550320

Tracrw LLC H's National Provider Identifier is 1548550320, issued on Apr 13, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Memphis, TN. The record was last updated on Apr 13, 2011.