Individual
DR. HENRY LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 503, TYLER, TX 75701-1952
(903) 595-2211
(903) 595-1397
Mailing address
700 OLYMPIC PLAZA CIR STE 503, TYLER, TX 75701-1952
(903) 595-2211
(903) 595-1397
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E6130
TX
Other
Enumeration date
01/25/2007
Last updated
10/24/2012
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