Organization
WILLIAM F TUCKER JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F TUCKER JR. MD (PRESIDENT)
(214) 265-5050
Entity
Organization
Contact information
Practice address
8210 WALNUT HILL LN, SUITE 404, DALLAS, TX 75231-4405
(214) 265-5050
(214) 265-0505
Mailing address
8440 WALNUT HILL LN, SUITE 250, DALLAS, TX 75231-3833
(214) 265-5050
(214) 265-0505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H8474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116145703
—
TX
01
—
200024781
RAILROAD MEDICARE PROVIDER ID
—
01
—
4970894
CIGNA PROVIDER ID
—
01
—
5812005
AETNA PROVIDER ID
—
Enumeration date
08/06/2010
Last updated
01/24/2013
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