Individual
DR. ANGELINA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5932 LOVELL AVE, FORT WORTH, TX 76107-5030
(817) 737-6655
(817) 737-5018
Mailing address
400 S MAIN ST, RHOME, TX 76078-4425
(817) 638-5561
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
32100056
TX
183500000X
Pharmacist
Primary
47332
TX
1835G0303X
Geriatric Pharmacist
9104432
TX
Other
Enumeration date
10/29/2011
Last updated
11/28/2023
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