Search › Texas › 363A00000X
Lucas Anderson
NPI 1396121646 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6317 N Park Dr
Watauga, TX 76148 - Phone
- (707) 738-0510
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X - Licence states on file
- CA, NV, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas