Individual
DR. WYLIE TUCKER FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
BP10063105
TX
2085R0202X
Diagnostic Radiology Physician
Primary
U8722
TX
208600000X
Surgery Physician
BP10063105
TX
Other
Enumeration date
05/08/2018
Last updated
06/05/2024
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