Tucker, Paul Anthony
Tucker, Paul Anthony is an individual health care provider with primary practice located at 4316 James Casey St Building C, Austin TX 78745-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Tucker, Paul Anthony can be contacted via phone (512) 623-5300.Contact Information
Primary practice address
4316 James Casey St Building C
Austin TX 78745-1116
Phone: (512) 623-5300
Fax: (512) 623-5399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | H3951 | Texas |
Profile Details
| NPI number | 1134104847 |
|---|---|
| LBN Legal business name | Tucker, Paul Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jan 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134104847 | NPPES |
| Texas | MEDICAID | 119097705 | |
| Texas | MEDICAID | 119097704 | |
| Texas | Other | 8BX080 | |
| Texas | Other | P00698690 | |
| Texas | Other | 060020998 | |
| Texas | MEDICAID | 119097701 |
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