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NPI 1710777941

IndividualActive

Blake Tucker, MD

NPI 1710777941 · Military Health Care Provider · San Antonio, TX

Provider details

NPI number: 1710777941
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: MD
Sex: Male
Sole proprietor: Yes

Practice location

3551 Roger Brooke Dr

San Antonio, TX 78234-4504

Phone: (210) 916-6604

More TX providers

Mailing address

3551 Roger Brooke Dr

San Antonio, TX 78234-4504

Registry dates

Enumerated: 2025-05-09
Last updated: 2025-05-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blake Tucker, MD — NPI 1710777941, San Antonio, TX | NPI Central