Individual
MRS. ASHLEY DANIELLE WALLACE-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7618
TX
152W00000X
Optometrist
7618T
TX
152W00000X
Optometrist
7618TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112409104
—
TX
05
—
214787801
—
TX
Enumeration date
07/15/2010
Last updated
05/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us