Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Landry Ross Tucker, PA-C

Individual provider Physician Assistant · NPI 1578160214

Landry Ross Tucker, PA-C is a Physician Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

901 W Ben White Blvd
Austin, TX 78704-6903
Phone: (512) 447-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14086 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1578160214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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