Active NPI
Grace B Tucker, MD
- Internal Medicine Physician
- Denison, TX
National Provider Identifier
1376595629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E5922
- Practice address
- 1014 Memorial Dr
1St Floor
Denison, TX 75020-2079 - Phone
- (903) 416-6000
- Fax
- (903) 416-6183
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E5922 | TX | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E5922 | TX |
Addresses
Primary practice location
1014 Memorial Dr
1St Floor
Denison, TX 75020-2079
Mailing address
1014 Memorial Dr
Denison, TX 75020-2079
Phone (903) 416-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116787602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5922 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare | Internal Medicine | Past | Accepting new patients |
| Uhs of Texoma Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Durant, OK
- NPI 1437782406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1376595629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MEMORIAL DR",
"city": "DENISON",
"state": "TX",
"postal_code": "750202079",
"telephone_number": "903-416-6000",
"fax_number": "903-416-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 MEMORIAL DR",
"address_2": "1ST FLOOR",
"city": "DENISON",
"state": "TX",
"postal_code": "750202079",
"telephone_number": "903-416-6000",
"fax_number": "903-416-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "GRACE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E5922",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "E5922",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116787602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.