Individual
DR. LUCAS G. HEARTSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N1677
TX
Other
Enumeration date
05/26/2007
Last updated
06/09/2014
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