Doctor Name: | PHILIP S TUCKER |
NPI Number: | 1215185186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MHPP/TEACHER |
License Number: | |
Business Practice Address: | 400 E Highway 43 Harrison, AR - 726016514 |
Business Phone Number: | 8703913871 |
Business Fax Number: | 8703913874 |
Mailing Address: | 4253 N Crossover Rd, FAYETTEVILLE |
State: | AR |
Postal Code: | 727034593 |
Phone Number: | 4795215731 |
Fax Number: | 4795216520 |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |