Individual
DR. TUCKER JAMES HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
802 S JACKSON AVE STE 225, TULSA, OK 74127-9049
(918) 582-7711
(918) 583-5831
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
5381
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200493920A
—
OK
01
—
657470
MEDICARE
OK
Enumeration date
05/07/2012
Last updated
06/13/2019
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