Individual
DR. BRYAN MICHAEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000
IN
207R00000X
Internal Medicine Physician
S2523
TX
207RN0300X
Nephrology Physician
2017-00156
NC
207RN0300X
Nephrology Physician
Primary
S2523
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2012
Last updated
09/10/2024
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