Individual
STEPHEN B TUCKER
Active
Individual
STEPHEN B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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