Tracie Dalene Updike in Port Arthur - Family Medicine
Tracie Dalene Updike - NPI 1629070750
Tracie Dalene Updike is a Family Medicine in Port Arthur, Texas. Tracie Dalene Updike practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracie Dalene Updike is 1629070750. The last update date is 2007-07-12.
Tracie Dalene Updike's current location address is 2933 Park Plaza Ln, Port Arthur, Texas. You can contact this provider via phone number 4099831899 and fax number 4099835225. The mailing address for Tracie Dalene Updike is 2933 Park Plaza Ln, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Dalene Updike |
|---|---|
| Address | 2933 Park Plaza Ln, Port Arthur, Texas |
| Phone Number | 4099831899 |
| Fax Number | 4099835225 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629070750 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 2933 Park Plaza Ln |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 7764255160 |
| Phone Number | 4099831899 |
| Fax Number | 4099835225 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J4577 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136424202 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracie Dalene Updike by the Centers for Medicare & Medicaid Services?
The Tracie Dalene Updike has been issued the NPI (National Provider Identifier) 1629070750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tracie Dalene Updike's facilities are situated?
The facilities of Tracie Dalene Updike are physically located at the following address: 2933 Park Plaza Ln, Port Arthur, TX, 7764255160.
What is Tracie Dalene Updike's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracie Dalene Updike's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did the Tracie Dalene Updike receive its 1629070750?
The Tracie Dalene Updike was issued its 1629070750 on 2005-06-01, which is the date when the organization was assigned this unique identifier.
When was the Tracie Dalene Updike's information last updated?
The Tracie Dalene Updike's information was last updated on 2007-07-12.