Gerald Lewis Tucker in Tyler - Addiction (substance Use Disorder)
Gerald Lewis Tucker - NPI 1972792141
Gerald Lewis Tucker is a Addiction (substance Use Disorder) in Tyler, Texas. Gerald Lewis Tucker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gerald Lewis Tucker is 1972792141. The last update date is 2007-10-23.
Gerald Lewis Tucker's current location address is 402 Ulster Dr, Tyler, Texas. You can contact this provider via phone number 9038397405. The mailing address for Gerald Lewis Tucker is 402 Ulster Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Lewis Tucker |
|---|---|
| Address | 402 Ulster Dr, Tyler, Texas |
| Phone Number | 9038397405 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972792141 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 402 Ulster Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757035347 |
| Phone Number | 9038397405 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 5066 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code assigned to Gerald Lewis Tucker by the Centers for Medicare & Medicaid Services?
The Gerald Lewis Tucker has been issued the NPI (National Provider Identifier) 1972792141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gerald Lewis Tucker's physical address?
The Gerald Lewis Tucker is physically located at 402 Ulster Dr, in the city of Tyler, TX, with the postal code 757035347.
What is the Gerald Lewis Tucker's specialty and taxonomy code?
The Gerald Lewis Tucker's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did Gerald Lewis Tucker receive its 1972792141 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Lewis Tucker was assigned its 1972792141 on 2007-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gerald Lewis Tucker most recently updated or refreshed?
The details pertaining to the Gerald Lewis Tucker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-23.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC