Individual
BRIAN ANDREW TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRS
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Mailing address
903 BILOXI DR APT D, NORMAN, OK 73071-2319
(405) 384-0849
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
318182
OK
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/28/2023
Last updated
08/24/2023
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