Individual
ALEXIS ANN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3636 EXECUTIVE CENTER DR STE G70, AUSTIN, TX 78731-1628
(512) 371-9555
(512) 367-5756
Mailing address
12703 S 75TH EAST AVE, BIXBY, OK 74008-1501
(918) 606-2146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
737791
TEXAS MEDICAL BOARD ID
TX
Enumeration date
12/08/2021
Last updated
03/11/2022
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