Individual
DR. THOMAS BOYNTON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
694 HILL COUNTRY DR, KERRVILLE, TX 78028-6078
(830) 792-3434
(830) 257-5875
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G8995
TX
207RH0003X
Hematology & Oncology Physician
MD60125712
WA
207RX0202X
Medical Oncology Physician
Primary
G8995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263270
L&I
WA
05
—
0811853-01
—
TX
05
—
137630305
—
TX
05
—
137630311
—
TX
05
—
137630312
—
TX
05
—
2007043
—
WA
01
—
830004598
RAILROAD MEDICARE NUMBER
TX
01
—
8BP220
BCBS OF TX
TX
01
—
P01288316
RR MEDICARE
WA
Enumeration date
06/15/2006
Last updated
02/21/2024
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