Individual provider · NPI-1

Thomas Blucker, MD

Family Medicine · Denton, TX

NPI number1053425413
StatusActive
Last updated in NPPESJun 30, 2008

Details

NPI
1053425413
Entity type
Individual (NPI-1)
Name
Thomas Blucker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2006
Last updated
Jun 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineD8665TXYes

Practice location

2509 Scripture St Ste 200
Denton, TX 76201-2337

Phone 940-898-7400 · Fax 940-387-7327

Mailing address

2509 Scripture St Ste 200
Denton, TX 76201-2337

Phone 940-898-7400 · Fax 940-387-7327

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