Alice Tucker Pllc | |
7405 Grover Ave Austin TX 78757 | |
(512) 751-9126 | |
Not Available |
Full Name | Alice Tucker Pllc |
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Speciality | Counselor - Professional |
Location | 7405 Grover Ave, Austin, Texas |
Authorized Official Name and Position | Alice Tucker (MANAGING PARTNER) |
Authorized Official Contact | 5127519126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alice Tucker Pllc 7405 Grover Ave Austin TX 78757-1913 Ph: () - | Alice Tucker Pllc 7405 Grover Ave Austin TX 78757 Ph: (512) 751-9126 |
NPI Number | 1326533423 |
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Provider Enumeration Date | 06/30/2018 |
Last Update Date | 07/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326533423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 68006 (Texas) | Primary |
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