Individual
BETHANY M. LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5615 DEAUVILLE STE 220, MIDLAND, TX 79706-2707
(432) 221-4755
(432) 686-0664
Mailing address
5615 DEAUVILLE STE 220, MIDLAND, TX 79706-2707
(325) 226-3503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12533
MN
363A00000X
Physician Assistant
PA05955
TX
363AM0700X
Medical Physician Assistant
PA05955
TX
363AS0400X
Surgical Physician Assistant
Primary
PA05955
TX
Other
Enumeration date
11/21/2008
Last updated
11/07/2024
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