Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALLACE LEE TRACY, M.D.
Active Sole ProprietorDR. WALLACE LEE TRACY, M.D. is a Family Medicine healthcare provider located in DE WITT, Arkansas. NPI 1366438384 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DE WITT, AR
Registration Details
- NPI Number
- 1366438384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (20.69806219869 yrs)
- Last Updated
- Mar 5, 2026
- License
-
C7340 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1940 S WHITEHEAD DRDE WITT, AR, 720422906Browse AR providers · Browse ZIP 72042
- Phone
- 8709464505
- Fax
- 8709462428
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DE WITT, AR
| Name | Credential | NPI |
|---|---|---|
| HAYDEN LEIBROCK | MD | 1043878051 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.