# MICHAEL G. TUCKER, DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376778332
- **Authorized official:** MICHAEL GEORGE TUCKER DPM (OWNER)
- **Authorized official phone:** (979) 285-0505

## Contact information

- **Practice address:** 450 THIS WAY ST, SUITE D, LAKE JACKSON, TX 77566-5152
- **Practice address phone:** (979) 285-0505
- **Practice address fax:** (979) 285-9355
- **Mailing address:** 450 THIS WAY ST, SUITE D, LAKE JACKSON, TX 77566-5152
- **Mailing address phone:** (979) 285-0505
- **Mailing address fax:** (979) 285-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1302 | TX | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/20/2009