Organization
LAWRENCE V. TUCKER, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE VERNON TUCKER M.D. (CEO/PSYCHIATRIST)
(888) 972-2178
Entity
Organization
Contact information
Practice address
5000 LEGACY DR, SUITE 400, PLANO, TX 75024-3100
(972) 473-7628
(972) 473-7699
Mailing address
5000 LEGACY DR, SUITE 400, PLANO, TX 75024-3100
(972) 473-7628
(972) 473-7699
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A84067
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
P0883
TX
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
P0883
TX
2084P0800X
Psychiatry Physician
A84067
CA
2084P0800X
Psychiatry Physician
Primary
P0883
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
P0883
TX
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
P0883
TX
Other
Enumeration date
10/13/2011
Last updated
12/25/2012
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