Mr. Grant M Tucker
Mr. Grant M Tucker is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone: (512) 324-7392
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1003545138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 6, 2022 |
| Last updated in NPPES | June 6, 2022 |
| Certification date | June 6, 2022 |
| Mailing address | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 |
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