Individual
GRACE B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1014 MEMORIAL DR, 1ST FLOOR, DENISON, TX 75020-2079
(903) 416-6000
(903) 416-6183
Mailing address
1014 MEMORIAL DR, DENISON, TX 75020-2079
(903) 416-6000
(903) 416-6183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E5922
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
E5922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116787602
—
TX
Enumeration date
05/16/2006
Last updated
09/11/2008
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