Individual
STEPHEN B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 EVERGREEN CIR, THE WOODLANDS, TX 77380-3602
(281) 367-9110
(832) 813-0344
Mailing address
1055 EVERGREEN CIR, THE WOODLANDS, TX 77380-3602
(281) 367-9110
(832) 813-0344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F6143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070002920
RAILROAD
TX
05
—
178810101
—
TX
01
—
87X447
BCBSTX
TX
01
—
DE5715
RAILROAD GROUP
TX
01
—
TXB122920
PTAN
TX
Enumeration date
06/06/2006
Last updated
04/22/2022
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