Richard Edward Tracy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L0657 Issued in TX

Practice address

1401 S University Dr
Nacogdoches, TX 75961-6488

Phone

(936) 560-5668

Fax

(936) 560-3928

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Texas Community Health Services, Inc

  • Community/Retail Pharmacy
  • Nacogdoches, TX
  • NPI 1457216665
  NPD (past)
• East Texas Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nacogdoches, TX
  • NPI 1255367090

  Family Medicine

  NPD (past)
• Hon Yuen Wong, Inc

  • Family Medicine Physician
  • Clarion, PA
  • NPI 1780691493
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942423892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S UNIVERSITY DR",
            "address_2": "P. O. BOX 632040",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759616488",
            "telephone_number": "936-560-5668",
            "fax_number": "936-560-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759616488",
            "telephone_number": "936-560-5668",
            "fax_number": "936-560-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMC Provider Group, PLLC (Texas MedClinic)
• Cynthia Ann Tolson, M.ED. CCC/SLP
• Kevin L Tomsic, MD, DC
• Toni I. White M.D. P.a.
• John R Torres, DC
• Isabel Trapp, SLP
• Traveling Therapist PLLC (Lori Fulton Counseling)
• Courtney Treat, PA-C
• Bryan Alford Trotty, MS, LAT
• Troy Simmons, DDS, P.a.

• Family Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.