Provider Demographics
NPI:1831143148
Name:SPEIGHT, TRACY E (MD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:E
Last Name:SPEIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 WALNUT HILL LN
Mailing Address - Street 2:STE 304
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4339
Mailing Address - Country:US
Mailing Address - Phone:214-369-2893
Mailing Address - Fax:214-739-6881
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:STE 304
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-369-2893
Practice Address - Fax:214-739-6881
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4334174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89381SOtherBLUE CROSS BLUE SHIELD
TX145911701Medicaid
TX145911701Medicaid
TXH25851Medicare UPIN