Individual
ANA MARIE LUCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1604 HOSPITAL PKWY STE 507, BEDFORD, TX 76022-6933
(817) 354-7268
Mailing address
7100 BOULEVARD 26 STE 101, RICHLAND HILLS, TX 76180-8687
(817) 767-1625
(817) 767-1645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP122706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758921
LICENSE
TX
Enumeration date
10/11/2012
Last updated
04/20/2020
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