Tucker, Grace B

Tucker, Grace B is an individual health care provider with primary practice located at 1014 Memorial Dr 1St Floor, Denison TX 75020-2079. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tucker, Grace B can be contacted via phone (903) 416-6000.

Contact Information

Primary practice address
1014 Memorial Dr 1St Floor Denison TX 75020-2079
Phone: (903) 416-6000
Fax: (903) 416-6183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E5922 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X E5922 Texas

Profile Details

NPI number 1376595629
LBN Legal business name Tucker, Grace B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376595629 NPPES
Texas MEDICAID 116787602

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