Michael G. Tucker, Dpm

LBN: Michael G. Tucker, Dpm
Michael G. Tucker, Dpm is an health care organization with primary practice located at 450 This Way St Suite D, Lake Jackson TX 77566-5152. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Michael G. Tucker, Dpm can be contacted via phone (979) 285-0505, or through Tucker, Michael George via phone (979) 285-0505.

Contact Information

Primary practice address
450 This Way St Suite D Lake Jackson TX 77566-5152
Phone: (979) 285-0505
Fax: (979) 285-9355
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Michael George Doctor of Podiatric Medicine (DPM)
Phone: (979) 285-0505

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1302 Texas

Profile Details

NPI number 1376778332
LBN Legal business name Michael G. Tucker, Dpm
DBA Doing business as
Authorized official Tucker, Michael George Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2009
Last updated May 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376778332 NPPES
Texas Other 00T68L BCBS
Texas MEDICAID 127186802 BCBS

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