Luckett, James Roy

Luckett, James Roy is an sole proprietor health care provider with primary practice located at 1701 W Marshall Dr Med00, Grand Prairie TX 75051-2704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Luckett, James Roy can be contacted via phone (972) 603-1806.

Contact Information

Primary practice address
1701 W Marshall Dr Med00 Grand Prairie TX 75051-2704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 257475 Texas

Profile Details

NPI number 1437353786
LBN Legal business name Luckett, James Roy
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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