Tucker, David M

Tucker, David M is an individual health care provider with primary practice located at 711 W 38Th St Bldg. F, Austin TX 78705-1121. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Tucker, David M can be contacted via phone (512) 458-6121.

Contact Information

Primary practice address
711 W 38Th St Bldg. F Austin TX 78705-1121
Phone: (512) 458-6121
Fax: (512) 452-5567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2 4175 Texas

Profile Details

NPI number 1033217591
LBN Legal business name Tucker, David M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 4th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033217591 NPPES
Texas MEDICAID 1004970 02
Texas Other 8F4432

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