NPI | 1366562225 |
---|---|
Former Legal Business Name | MARSHALL B LUCAS |
Entity Type | Organization |
Authorized Contact | MARSHALL B LUCAS Owner 832-616-2668 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2007-04-01 |
Last Update Date | 2021-09-29 |