Mechiell Demetrius Tucker, PA

NPI #1730101783 in Desoto, Texas

Provider Information

NPI Number
1730101783
Entity Type
Individual
Name
Mechiell Demetrius Tucker, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 25, 2006
Last Updated
Jul 15, 2020

Practice Location

Address
111 EXECUTIVE WAY STE 102
City
Desoto
State
Texas
ZIP Code
75115-2388
Phone
(469) 941-4029

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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