| Kindrell S. Tucker, Md, Pa | |
|
1320 S John Redditt Dr Ste B Lufkin TX 75904-4368 | |
| (936) 225-3657 | |
| (936) 899-7293 |
| Full Name | Kindrell S. Tucker, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1320 S John Redditt Dr Ste B, Lufkin, Texas |
| Authorized Official Name and Position | Kindrell S Tucker (OWNER) |
| Authorized Official Contact | 9362253657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindrell S. Tucker, Md, Pa Po Box 154137 Lufkin TX 75915-4137 Ph: (936) 225-3657 | Kindrell S. Tucker, Md, Pa 1320 S John Redditt Dr Ste B Lufkin TX 75904-4368 Ph: (936) 225-3657 |
| NPI Number | 1467988600 |
|---|---|
| Provider Enumeration Date | 05/09/2017 |
| Last Update Date | 01/23/2020 |
| Medicare PECOS PAC ID | 4587936125 |
|---|---|
| Medicare Enrollment ID | O20170817000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467988600 | NPI | - | NPPES |
| 1467988600 | Other | TYPE II NATIONAL PROVIDER IDENTIFIER | |
| 1245586296 | Other | TYPE I NATIONAL PROVIDER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q3822 (Texas) | Primary |
| Provider Name | Kindrell Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245586296 PECOS PAC ID: 1254651466 Enrollment ID: I20150629000149 |
| Provider Name | Shaleta Shontel Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710519277 PECOS PAC ID: 5193153328 Enrollment ID: I20200320002569 |
| Provider Name | Haley Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457124521 PECOS PAC ID: 0446608434 Enrollment ID: I20231201000960 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
In & Out Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 |