Tucker, Christopher John

Tucker, Christopher John is an individual health care provider with primary practice located at 2535 Ira E Woods Avenue , Grapevine TX 76051-3930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Tucker, Christopher John can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Avenue Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J2823 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J2828 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X J2823 Texas

Profile Details

NPI number 1104822659
LBN Legal business name Tucker, Christopher John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822659 NPPES
Texas MEDICAID 098913901
Texas Other 82X724

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