MEDICARE: DR. ANTHONY P LUCCI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	D1235	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8G9490	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851340509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY P LUCCI MD

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77063-1707
Country	:	US
Telephone Number	:	713-975-8353
Fax Number	:	713-975-1143

Provider Business Practice Location Address
First Line	:	7500 SAN FELIPE ST
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77063-1707
Country	:	US
Telephone Number	:	713-975-8353
Fax Number	:	713-975-1143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	03/05/2012

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