Individual provider · Type 1 NPI

Mary Luckasen

Internal Medicine Physician · Jbsa Fort Sam Houston, TX

NPI number 1366199754 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Call (210) 916-5910 Map

Fax (210) 916-2077

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XDR.0071968 (CO)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1366199754

Mary Luckasen's National Provider Identifier is 1366199754, issued on Mar 4, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Jun 18, 2026.