MEDICARE: MEGAN TUSKEN 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
1	2084P0800X	Psychiatry Physician	315116	NY
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1497251078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN TUSKEN MD

Provider Business Mailing Address
First Line	:	6330 LYNDON B JOHNSON FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6431
Country	:	US
Telephone Number	:	214-308-2989
Fax Number	:	214-387-1226

Provider Business Practice Location Address
First Line	:	6330 LYNDON B JOHNSON FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6431
Country	:	US
Telephone Number	:	214-308-2989
Fax Number	:	214-387-1226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2018
Last Update Date	:	12/20/2025

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