DR. TRACY D WILSON D.C.
NPI 1578636742
Chiropractor in Lubbock, TX

Q: What is Tracy Wilson's NPI number?

The NPI number for Tracy Wilson is 1578636742. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Tracy Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2006

8004 ABBEVILLE AVE, LUBBOCK, TX 79424(806) 722-3533(806) 687-6895 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracy D Wilson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY D WILSON D.C. (NPI 1578636742) is an individual chiropractor in Lubbock, Texas, licensed in Texas (8754) and active in the NPI registry since November 2006. He is a graduate of Other (1997).

NPPES Registry Identity

NPI1578636742

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TRACY D WILSONCredential: D.C.

Location Address8004 ABBEVILLE AVELubbock, TX 79424-2806

Mailing Address8004 Abbeville AveLubbock, TX 79424-2806 · (806) 722-3533 · Fax (806) 687-6895

Phone(806) 722-3533

Fax(806) 687-6895

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578636742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 8754

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

8004 ABBEVILLE AVE, Lubbock, TX 79424

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Other Identifiers 2

Medicare ID-Type Unspecified00741XTX · Group Number

Medicare ID-Type Unspecified8C9385TX · Individual Providernumber

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy D Wilson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234190604

PECOS Enrollment IDI20041020000457

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

672 services57 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC JAMES VILLARREAL DC,BS

Chiropractor