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1578160214
LANDRY ROSS TUCKER
AUSTIN, TX
NPI
1578160214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14086)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-10-06
Last Update Date
2023-05-22
Business Address
LANDRY ROSS TUCKER PA-C
901 W BEN WHITE BLVD
AUSTIN, TX 78704-6903
Phone number: 512-447-2211
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Mailing Address
LANDRY ROSS TUCKER PA-C
1308 BLUEBONNET TRL
ARLINGTON, TX 76013-5004
Phone number: 817-709-4052
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