| NPI | 1992598338 |
|---|---|
| Doing Business As | TUCKER INTEGRATIVE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICK EDWIN TUCKER Manager 662-415-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |