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Individual

JOSHUA J LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5016 S US HIGHWAY 75, DENISON, TX 75020-4584
(903) 416-4188
(903) 327-8023
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
50536
MN
2085R0202X
Diagnostic Radiology Physician
Primary
P7495
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01261149
RR MEDICARE PIN
TX
Enumeration date
05/22/2007
Last updated
04/01/2022
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