| Tucker Chiropractic Center Pllc | |
|
1179 S Gentry Blvd, Gentry, AR 72734-9624 | |
| (479) 736-8900 | |
| (479) 736-5133 |
| Full Name | Tucker Chiropractic Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1179 S Gentry Blvd, Gentry, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104848001 | NPI | - | NPPES |
| 181145718 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jeffrey A Tucker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770582710 PECOS PAC ID: 3375588668 Enrollment ID: I20050627001299 |
| Provider Name | Guy E Tucker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316946403 PECOS PAC ID: 1456421528 Enrollment ID: I20080531000104 |
| Provider Name | Damon C Cripps |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679357081 PECOS PAC ID: 6002261328 Enrollment ID: I20231006000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Chiropractic Center Pllc Po Box 936, Gentry, AR 72734-0936 Ph: (479) 736-8900 | Tucker Chiropractic Center Pllc 1179 S Gentry Blvd, Gentry, AR 72734-9624 Ph: (479) 736-8900 |
Guy E Tucker, D C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1179 S Gentry Blvd, Gentry, AR 72734 Phone: 479-736-8900 Fax: 479-736-5133 | |
Damon Cole Cripps, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1179 S Gentry Blvd, Gentry, AR 72734 Phone: 479-736-8900 Fax: 479-736-5133 | |
Jeffrey A Tucker, D. C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1179 S Gentry Blvd, Gentry, AR 72734 Phone: 479-736-8900 Fax: 479-736-5133 |