SearchTexas2255A2300X

Jonathan Tucker, LAT

NPI 1417470337 · on the registry since 2017 · sole proprietor

Practice

Address
1801 S Stewart St
Azle, TX 76020
Phone
(817) 253-5820

Additional practice sites

  • 7083 Briar Road, Azle, TX

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas