Individual
SAMUEL LUCAS LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1139 E SONTERRA BLVD STE 405, SAN ANTONIO, TX 78258-4352
(210) 224-4811
(210) 224-1573
Mailing address
1139 E SONTERRA BLVD STE 405, SAN ANTONIO, TX 78258-4352
(210) 224-4811
(210) 224-1573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135675
TX
363LF0000X
Family Nurse Practitioner
AP135675
TX
Other
Enumeration date
08/11/2017
Last updated
04/11/2022
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