All Medicaid billing entities listing TRACY, WALLACE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arkansas | 1 | $55K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TRACY FAMILY PRACTICE CLINIC PA | DE WITT, AR | Preferred Provider Organization | $55K |