Dr Kathryn Lynn Tucker, DDS is a
Dentist - General Practice based in Malakoff, Texas. Dr Kathryn Lynn Tucker is licensed to practice in Texas (license number 37369) and her current practice location is
216 N Lane St, Malakoff, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 489-1316.
NPI number for Dr Kathryn Lynn Tucker is 1154991867 and her current mailing address is 30 Lakeside Dr, Malakoff, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154991867.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Lynn Tucker |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 216 N Lane St, Malakoff, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154991867
- Provider Enumeration Date: 06/26/2021
- Last Update Date: 06/26/2021
Medical Identifiers
Medical identifiers for Dr Kathryn Lynn Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154991867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 37369 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Lynn Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kathryn Lynn Tucker, DDS
30 Lakeside Dr,
Malakoff, TX 75148-4750
Ph: (281) 507-4611 | Dr Kathryn Lynn Tucker, DDS
216 N Lane St,
Malakoff, TX 75148-9320
Ph: (903) 489-1316 |
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