Organization
TUCKSTER HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT WILSON (OWNER)
(702) 340-3661
Entity
Organization
Contact information
Practice address
10 DESTA DR STE 105E, MIDLAND, TX 79705-4573
(432) 897-4094
Mailing address
10 DESTA DR STE 105E, MIDLAND, TX 79705-4573
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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