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NPI Code Detail

MEDICARE: DONALD TOMMY TUCKER MD

MEDICARE:   DONALD TOMMY TUCKER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianG4063TX
2207Q00000XFamily Medicine PhysicianG4063TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28S0675OTHERTXBCBS

General Provider Information

NPI Number : 1487639324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD TOMMY TUCKER MD
Provider Business Mailing Address
First Line : PO BOX 4767
Second Line :
City : MCALLEN
State : TX
Zip : 78502-4767
Country : US
Telephone Number : 956-362-5030
Fax Number : 956-362-5035
Provider Business Practice Location Address
First Line : 1421 N COL ROWE BLVD STE A
Second Line :
City : MCALLEN
State : TX
Zip : 78501-2304
Country : US
Telephone Number : 956-362-5030
Fax Number : 956-362-5035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 05/01/2026

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Directions to “ DONALD TOMMY TUCKER MD” Practice Location

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