Individual
HENRY S LUCID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16010 PARK VALLEY DR, SUITE 200, ROUND ROCK, TX 78681-3574
(512) 206-2999
Mailing address
16010 PARK VALLEY DR, SUITE 200, ROUND ROCK, TX 78681-3574
(512) 206-2999
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K2357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1870239
FIRST HEALTH
TX
01
—
7531163
AETNA/TRS
—
01
—
78681-B002
CHAMPS/TRICARE
—
01
—
8B9681
BC/BS
TX
01
—
966648
GREAT WEST
—
Enumeration date
08/16/2005
Last updated
07/08/2007
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