Provider Demographics
NPI:1144414012
Name:DUNCAN, TRACI SMITH (ARNP, PNP)
Entity Type:Individual
Prefix:MRS
First Name:TRACI
Middle Name:SMITH
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:ARNP, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST STE 670
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2610
Mailing Address - Country:US
Mailing Address - Phone:832-822-3720
Mailing Address - Fax:832-825-0800
Practice Address - Street 1:6701 FANNIN ST STE 670
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2610
Practice Address - Country:US
Practice Address - Phone:832-822-3720
Practice Address - Fax:832-825-0800
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1142786363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1144414012Medicaid