Provider Demographics
NPI:1801908181
Name:HOU, GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:
Last Name:HOU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6320 N LACHOLLA BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741
Mailing Address - Country:US
Mailing Address - Phone:520-575-7159
Mailing Address - Fax:520-742-0260
Practice Address - Street 1:6320 N LACHOLLA BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-575-7159
Practice Address - Fax:520-742-0260
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ224422086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF80380Medicare UPIN
AZZ21245Medicare PIN