Individual provider · Type 1 NPI

Thomas Mark Lutrick, PA-C

Surgical Physician Assistant · Colleyville, TX

NPI number 1831137272 Active

Practice location

4701 Manning Dr
Colleyville, TX 76034-4220

Mailing address

PO Box 1255
Colleyville, TX 76034-1255

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA03123 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1831137272

Thomas Mark Lutrick, PA-C's National Provider Identifier is 1831137272, issued on Jun 4, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Colleyville, TX. The record was last updated on Oct 22, 2013.