Provider Demographics
NPI:1881862167
Name:WOODS, TUCKER LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:TUCKER
Middle Name:LEE
Last Name:WOODS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALLSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75650-5227
Mailing Address - Country:US
Mailing Address - Phone:903-668-2787
Mailing Address - Fax:903-660-2692
Practice Address - Street 1:213 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75650-5227
Practice Address - Country:US
Practice Address - Phone:903-668-2787
Practice Address - Fax:903-660-2692
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor