Individual
DR. WILLIAM FULTON TUCKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H8474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U59Y
BCBS IDENTIFIER
TX
05
—
116145703
—
TX
01
—
200024781
RAILROAD MEDICARE ID
—
01
—
5812005
AETNA ID
—
Enumeration date
01/04/2007
Last updated
10/20/2023
Update your record
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