Lucus, Dale R
Lucus, Dale R is an sole proprietor health care provider with primary practice located at 800 County Road 1224 , Cleburne TX 76033-8505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lucus, Dale R can be contacted via phone (817) 641-1777.Contact Information
Primary practice address
800 County Road 1224
Cleburne TX 76033-8505
Phone: (817) 641-1777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6131 | Texas |
Profile Details
| NPI number | 1063494979 |
|---|---|
| LBN Legal business name | Lucus, Dale R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 11th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063494979 | NPPES |
| Texas | MEDICAID | 112027101 | |
| Texas | Other | 0046QR | |
| Texas | MEDICAID | 112027106 |
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