Terry Tucker in Gallup - Addiction (substance Use Disorder)
Terry Tucker - NPI 1104018027
Terry Tucker is a Addiction (substance Use Disorder) in Gallup, New Mexico. Terry Tucker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Terry Tucker is 1104018027. The last update date is 2019-09-19.
Terry Tucker's current location address is Po Box 6175, Gallup, New Mexico. You can contact this provider via phone number 5059828870 and fax number 5059820620. The mailing address for Terry Tucker is Po Box 6175, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Tucker |
|---|---|
| Address | Po Box 6175, Gallup, New Mexico |
| Phone Number | 5059828870 |
| Fax Number | 5059820620 |
| Sole Proprietor | N |
| Credentials | LADAC |
NPI Number Detail
| NPI Number | 1104018027 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2019-09-19 |
Provider Mailing Address Detail
| Address | Po Box 6175 |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873056175 |
| Phone Number | 5059828870 |
| Fax Number | 5059820620 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 3918 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54659566 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Terry Tucker?
The Terry Tucker has been issued the NPI (National Provider Identifier) 1104018027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Terry Tucker?
The Terry Tucker is situated at Po Box 6175, in the city of Gallup, state of NM, with the zip code 873056175.
What is Terry Tucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Terry Tucker is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
When did Terry Tucker receive its 1104018027 assignment?
The Terry Tucker was assigned its 1104018027 on 2007-08-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Terry Tucker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Terry Tucker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC