Individual
DR. BRIAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9601 SPUR 591, ATTN: REGIONAL MEDICAL OFFICE, AMARILLO, TX 79107-9606
(806) 381-7081
Mailing address
9601 SPUR 591, ATTN: REGIONAL MEDICAL OFFICE, AMARILLO, TX 79107-9606
(806) 381-7081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12341
TX
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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