Jacomides, Lucas

Jacomides, Lucas is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jacomides, Lucas can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax: (512) 509-0366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X L1081 Texas

Profile Details

NPI number 1750381620
LBN Legal business name Jacomides, Lucas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750381620 NPPES
Texas MEDICAID 165720701
Texas MEDICAID 154466001

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