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Individual

AUSTIN FARRIS TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 366-3666

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
860688
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1216006
TX

Other

Enumeration date
06/18/2025
Last updated
11/21/2025
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