Family Medicine in PORT ARTHUR, TX
Last Updated on : Jul 12,2007
TRACIE DALENE UPDIKE is a Family Medicine provider in PORT ARTHUR, United States. Her medical specialization is Family Medicine .
1629070750 is NPI number of TRACIE DALENE UPDIKE.
TRACIE DALENE UPDIKE's primary taxonomy code based on NPI Lookup is 207Q00000X with license number J4577. This taxonomy code refers to Family Medicine.
TRACIE DALENE UPDIKE has more than 17 years of experience.
TRACIE DALENE UPDIKE current practice location address is 2933 PARK PLAZA LN, PORT ARTHUR, TX. TRACIE DALENE UPDIKE can be reached out via phone at 409-983-1899 and via fax at 409-983-5225 .
You can also correspond with TRACIE DALENE UPDIKE through mail at mailing address 2933 PARK PLAZA LN, PORT ARTHUR, TX, United States. Mailing address contact number is 409-983-1899.
The enumeration date of TRACIE DALENE UPDIKE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of TRACIE DALENE UPDIKE (NPI 1629070750) is provided below.
Name | TRACIE DALENE UPDIKE |
---|---|
National Provider Id (NPI) | 1629070750 |
Entity Type | Individual |
Gender | F |
Credential | M.D. |
Practice Address | 2933 PARK PLAZA LN,
PORT ARTHUR, TX, United States |
Practice Telephone | 409-983-1899 |
Practice Fax Number | 409-983-5225 |
Mailing Address | 2933 PARK PLAZA LN ,
PORT ARTHUR, TX, United States |
Mailing Telephone | 409-983-1899 |
Mailing Fax Number | 409-983-5225 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 12-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Medicine | J4577 | TX |
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 is not limited by age, sex, organ system, or disease entity.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
00208D | MEDICARE ID-Type Unspecified (04) | TX | Medicare provider number |
136424202 | MEDICAID (05) | TX | |
G08202 | MEDICARE UPIN (02) | TX |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1326100439 | 4500 GULFWAY MEDICAL MANAGEMENT PA | Physician Assistant | PO BOX 3756,
PORT ARTHUR, TX, United States |
14-Dec-2006 |
1568538049 | 9TH AVENUE PHYSICAL THERAPY, PLLC | Clinic/Center, Physical Therapy | 8333 9TH AVE.,
SUITE D PORT ARTHUR, TX, United States |
28-Nov-2006 |
1821231036 | A PLUS HEALTH CARE CLINIC | Clinic/Center | 1750 9TH AVE,
202 PORT ARTHUR, TX, United States |
17-Apr-2009 |
1477929602 | ABBE HOME HEALTHCARE LLC | Home Health | 1710 ASHMORE CT,
MISSOURI CITY, TX, United States |
11-Aug-2015 |
1952306565 | NABEEL ABDULLAH | Internal Medicine, Cardiovascular Disease | 3921 N TWIN CITY HWY,
PORT ARTHUR, TX, United States |
20-Jun-2005 |
1417952029 | DIA ABOCHAMH | Internal Medicine, Cardiovascular Disease | PO BOX 951406,
DALLAS, TX, United States |
20-Jun-2005 |
1477904704 | TONY THOMAS ABRAHAM | Emergency Medicine | 200 CORPORATE BLVD,
LAFAYETTE, LA, United States |
28-Jun-2016 |
1952594657 | REBECCA ABREGO | Speech-Language Pathologist, | 101 GRAND CHASE DR,
NEDERLAND, TX, United States |
25-Aug-2007 |
1912983792 | GILBERTO P. AGUSTIN | Psychiatry & Neurology, Neurology | 3780 MEMORIAL BLVD,
PORT ARTHUR, TX, United States |
22-Dec-2005 |
1528096526 | AKERY-LAUGHLIN LLC | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 3360 25TH ST,
PORT ARTHUR, TX, United States |
29-Jun-2006 |
1215120464 | AKERY-LAUGHLIN, LLC | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 3360 25TH ST,
PORT ARTHUR, TX, United States |
21-Aug-2007 |
1073530960 | SENTHIL ALAGARSAMY | Emergency Medicine | 200 CORPORATE BLVD,
LAFAYETTE, LA, United States |
16-Jul-2006 |
1295939015 | PAMELA SPENCER ALBACETE | Speech-Language Pathologist, | 620 19TH ST.,
BEAUMONT, TX, United States |
14-Jun-2007 |
1528117892 | GLENN EDWARD ALEXANDER | Nurse Practitioner, Pediatrics | 2128 PROCTER ST,
PORT ARTHUR, TX, United States |
09-Jan-2007 |
1780761973 | PAUL DEAN ALEXANDER | Counselor | 7980 ANCHOR DR BLDG 500,
PORT ARTHUR, TX, United States |
01-Nov-2006 |
1306368436 | ALEXANDER'S CHILDREN SERVICES, INC. | Clinic/Center, Primary Care | 2128 PROCTER ST,
PORT ARTHUR, TX, United States |
11-Jul-2017 |
1134126352 | MADELINE ALFORD | Counselor, Professional | 2817 SHERIDAN LN,
PORT ARTHUR, TX, United States |
01-Jul-2005 |
1821321613 | MOHAMMAD SALEM ALHALABI | Specialist | PO BOX 1283,
NEDERLAND, TX, United States |
10-Sep-2009 |
1851479117 | SHAHNAZ ALI | Internal Medicine | 2548 MEMORIAL BLVD,
PORT ARTHUR, TX, United States |
02-Nov-2006 |
1013968064 | SYED S ALI | Emergency Medicine, Emergency Medical Services | 3007 MULLINGAR WALK,
MISSOURI CITY, TX, United States |
15-May-2006 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1629070750 is the NPI number of TRACIE DALENE UPDIKE.
What is the specialty for TRACIE DALENE UPDIKE?The Specialty of TRACIE DALENE UPDIKE is Family Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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