MEDICARE: MICHAEL G. TUCKER, DPM

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1302	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00T68L	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376778332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL G. TUCKER, DPM

Provider Business Mailing Address
First Line	:	450 THIS WAY ST
Second Line	:	SUITE D
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5152
Country	:	US
Telephone Number	:	979-285-0505
Fax Number	:	979-285-9355

Provider Business Practice Location Address
First Line	:	450 THIS WAY ST
Second Line	:	SUITE D
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5152
Country	:	US
Telephone Number	:	979-285-0505
Fax Number	:	979-285-9355

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL GEORGE TUCKER
Credential	:	DPM
Telephone Number	:	979-285-0505

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	05/20/2009

Similar Medicare Providers

1215961545 — LAKE JACKSON DIALYSIS AND KIDNEY CENTER, LTD, LLP
Practice Location Address:

450 THIS WAY ST STE A
LAKE JACKSON, TX
77566-5152

Practice Phone: 979-299-6565
Practice Fax: 979-299-6568

1518396001 — NEPHROLOGY NUTRITION SERVICES
Practice Location Address:

450 THIS WAY ST STE B
LAKE JACKSON, TX
77566-5152

Practice Phone: 979-299-0091
Practice Fax:

1770990749 — RENAL TREATMENT CENTERS-SOUTHEAST, LP
Practice Location Address:

450 THIS WAY ST , STE A
LAKE JACKSON, TX
77566-5152

Practice Phone: 979-299-6565
Practice Fax: 979-299-6568

1205856713 — DR. DALE HERBERT VANCIL D. P, M.
Practice Location Address:

3485 WILLOW LAKE BLVD. , SUITE 300
LINO LAKES, MN
55110-5152

Practice Phone: 651-765-8200
Practice Fax: 651-765-8201

1770690513 — MELISSA BRADY
Practice Location Address:

2527 112TH DR SE
LAKE STEVENS, WA
98258-5152

Practice Phone: 425-220-4719
Practice Fax:

1710083837 — MEDICAL ARTS FOOT CLINICS, P. A.
Practice Location Address:

3485 WILLOW LAKE BLVD , SUITE 300
SAINT PAUL, MN
55110-5152

Practice Phone: 651-765-8200
Practice Fax: 651-765-8201

Directions to “MICHAEL G. TUCKER, DPM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.