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Contact Information

TRACY T VU, PA
8020 CONSTITUTION PL NE STE 202
ALBUQUERQUE, NM87110-7640
 Phone: 505-998-3096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TRACY T VU · (Female)

NPI Number 1407462526
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/23/2020
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2024-0111
  • TX License # DT86638
  • NM Medicaid 15032531
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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