Individual
ROBERT GILLESPIE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 579-4934
Mailing address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 579-4934
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
V7254
TX
208D00000X
General Practice Physician
Primary
V7254
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2023
Last updated
05/05/2025
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