Organization
C. TUCKER JOUSTRA FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE TUCKER JOUSTRA D.O. (PRESIDENT)
(417) 682-5508
Entity
Organization
Contact information
Practice address
805 GULF ST, LAMAR, MO 64759-1238
(417) 682-5508
(417) 682-5594
Mailing address
805 GULF ST, LAMAR, MO 64759-1238
(417) 682-5508
(417) 682-5594
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R9G86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242426534
—
MO
Enumeration date
02/08/2010
Last updated
02/08/2010
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