Michael G. Tucker, Dpm
NPI #1376778332 in Lake Jackson, Texas
Provider Information
- NPI Number
- 1376778332
- Entity Type
- Organization
- Organization Name
- Michael G. Tucker, Dpm
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 20, 2009
- Last Updated
- May 20, 2009
Practice Location
- Address
- 450 THIS WAY ST
- Address 2
- SUITE D
- City
- Lake Jackson
- State
- Texas
- ZIP Code
- 77566-5152
- Phone
- (979) 285-0505
Authorized Official
- Name
- MICHAEL GEORGE TUCKER, DPM
- Title
- OWNER
- Phone
- (979) 285-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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