Patricia Marion Lucas, PA | |
359 Medical Group, 221 Third Street West Bldg 1040, Joint Base San Antonio-randolph, TX 78150 | |
(210) 652-4279 | |
Not Available |
Full Name | Patricia Marion Lucas |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 359 Medical Group, Joint Base San Antonio-randolph, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619955341 | NPI | - | NPPES |
1046215 | Other | NCCPA | |
PA06993 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 1046215 (Georgia) | Primary |
363AM0700X | Physician Assistant - Medical | PA06993 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Patricia Marion Lucas, PA 359 Medical Group, 221 3rd St West Bldg 1040, Jbsa-ranolph, TX 78150-4267 Ph: () - | Patricia Marion Lucas, PA 359 Medical Group, 221 Third Street West Bldg 1040, Joint Base San Antonio-randolph, TX 78150 Ph: (210) 652-4279 |