Individual provider Active NPI

Daniel Morgan Tucker, MD

  • Family Medicine Physician
  • Texarkana, AR
National Provider Identifier
1265923759
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38022 Issued in OK
Practice address
600 E 6TH St
Texarkana, AR 71854
Phone
(870) 779-6000
Fax
(870) 779-6093
NPI assigned
May 21, 2018
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38022 OK Primary

Addresses

Primary practice location

600 E 6TH St
Texarkana, AR 71854

Mailing address

506 E Shepherd St
Denison, TX 75021
Phone (307) 221-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208001689 TX Practitioner - Family Practice 9133475791 Reassigns benefits to 3 organizations
I20211208001989 OK Practitioner - Family Practice 9133475791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Wound Care LLCGroup PAC ID 4486028685, 29 clinicians

Practice addresses (Care Compare)

2424 Springer Dr
Suite 102
Norman, OK 73069-3905

2424 Springer Dr
Suite 300
Norman, OK 73069-3966
Phone (405) 216-3747

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue212
Removal of skin lesions15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38022OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Mobile Wound Care LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Primary Care Providers, LLC Family Medicine CurrentSince Nov 2, 2025 Accepting new patients
Mobile Wound Care LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
On-Site Care LLC Family Medicine Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

301 Lilac Dr
Ste 150
Edmond, OK 73034
Phone (405) 216-3747

2424 Springer Dr
Ste 102
Norman, OK 73069
Phone (405) 216-3747

2424 Springer Dr
Ste 300
Norman, OK 73069
Phone (405) 216-3747

10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1800 Teague Dr
Ste 202
Sherman, TX 75090
Phone (903) 328-6074

1800 Teague Dr
Ste 219
Sherman, TX 75090
Phone (903) 357-5320

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1265923759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E SHEPHERD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75021",
            "telephone_number": "307-221-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71854",
            "telephone_number": "870-779-6000",
            "fax_number": "870-779-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DANIEL",
        "middle_name": "MORGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "38022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.