Individual provider · Type 1 NPI

Blake Allen Tucker, MD

Military Health Care Provider · San Antonio, TX

NPI number 1710777941 Active

Practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Call (210) 916-6604 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1710777941

Blake Allen Tucker, MD's National Provider Identifier is 1710777941, issued on May 9, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Antonio, TX. The record was last updated on May 9, 2025.