Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCAS MICHAL ANDERSON
Active Sole ProprietorLUCAS MICHAL ANDERSON is a Physician Assistant healthcare provider located in WATAUGA, Texas. NPI 1396121646 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WATAUGA, TX
Registration Details
- NPI Number
- 1396121646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2015 (11.052231300317 yrs)
- Last Updated
- Nov 13, 2022
- Licenses
-
52540 (CA)PA1668 (NV)PA14846 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6317 N PARK DRWATAUGA, TX, 761481321Browse TX providers · Browse ZIP 76148
- Phone
- 7077380510
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.