Individual
MIKAEL LEE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23900 KATY FWY, KATY, TX 77494
(281) 644-8166
(281) 371-1819
Mailing address
23900 KATY FREEEWAY, KATY, TX 77494
(281) 644-8166
(281) 371-1819
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A106922
CA
207P00000X
Emergency Medicine Physician
Primary
P6022
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A106922
MEDICAL LICENSE
CA
01
—
P6022
TEXAS MEDICAL BOARD
TX
Enumeration date
08/28/2007
Last updated
10/17/2016
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