Individual provider · Type 1 NPI

Bethany M. Lucas, PA

Surgical Physician Assistant · Midland, TX

NPI number 1225283963 Active

Practice location

5615 Deauville Ste 220
Midland, TX 79706-2707

Fax (432) 686-0664

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA05955 (TX)
Physician Assistant 363A00000X12533 (MN)
Medical Physician Assistant 363AM0700XPA05955 (TX)
Surgical Physician Assistant Primary 363AS0400XPA05955 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1225283963

Bethany M. Lucas, PA's National Provider Identifier is 1225283963, issued on Nov 21, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Midland, TX. The record was last updated on Nov 7, 2024.