Individual
MARY ROSE SAN PEDRO TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
20614 CREEK RIV, SAN ANTONIO, TX 78259-2084
(919) 273-2500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
843454
TX
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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