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Michael G. Tucker, Dpm
Durable Medical Equipment & Medical Supplies in Lake Jackson, Texas
NPI 1376778332

Michael G. Tucker, Dpm is a Durable Medical Equipment & Medical Supplies based in Lake Jackson, TX. Michael G. Tucker, Dpm practices in Lake Jackson, TX. The NPI Number for Michael G. Tucker, Dpm is 1376778332 and holds a License No. 1302 (Texas).

The current practice location address for Michael G. Tucker, Dpm is 450 This Way St, Lake Jackson, TX and can be reached out via phone at 979-285-0505 and via fax at 979-285-9355.

Location: 450 This Way St, Lake Jackson, TX, 77566-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376778332
Provider Name
Michael G. Tucker, Dpm
Credential
Provider Entity Type
Organization
Address
450 This Way St, Lake Jackson, TX, 77566-5152
Phone Number
979-285-0505
Fax Number
979-285-9355
Provider Enumeration Date
05/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00T68L 01 TX BCBS
127186802 05 TX
institution
Provider Business Practice Location Address Details
Address
450 This Way St
City
Lake Jackson
State
Texas
Zip
77566-5152
Phone Number
979-285-0505
Fax Number
979-285-9355
person
Provider Business Mailing Address Details
Address
450 This Way St
City
Lake Jackson
State
Texas
Zip
77566-5152
Phone Number
979-285-0505
Fax Number
979-285-9355
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1302 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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