MECHIELL DEMETRIUS TUCKER

DESOTO, TX
NPI1730101783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA02092)
Enumeration Date2006-07-25
Last Update Date2020-07-15
Business Address
MECHIELL DEMETRIUS TUCKER PA
111 EXECUTIVE WAY STE 102
DESOTO, TX 75115-2388
Phone number: 469-941-4029
Mailing Address
MECHIELL DEMETRIUS TUCKER PA
3008 BAYSIDE DR
ROCKWALL, TX 75087-5307
Phone number: 469-951-9984
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