| Marshall B Lucas | |
|
8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 | |
| (281) 367-1015 | |
| (832) 616-2766 |
| Full Name | Marshall B Lucas |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8701 New Trails Dr Ste 150, The Woodlands, Texas |
| Authorized Official Name and Position | Marshall B Lucas (OWNER) |
| Authorized Official Contact | 8329165099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall B Lucas 8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 Ph: (281) 367-1015 | Marshall B Lucas 8701 New Trails Dr Ste 150 The Woodlands TX 77381-4546 Ph: (281) 367-1015 |
| NPI Number | 1952993073 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Medicare PECOS PAC ID | 4082021282 |
|---|---|
| Medicare Enrollment ID | O20210407000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952993073 | NPI | - | NPPES |
| 1700970282 | Other | TX | IND NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Marshall B Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700970282 PECOS PAC ID: 2860407350 Enrollment ID: I20060221000303 |
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