Healthcare Provider Details

I. General information

NPI: 1457277469
Provider Name (Legal Business Name): LUCID URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 COURTNEY PL APT A
CLEBURNE TX
76033-7800
US

IV. Provider business mailing address

1403 COURTNEY PL APT A
CLEBURNE TX
76033-7800
US

V. Phone/Fax

Practice location:
  • Phone: 240-207-8382
  • Fax: 240-207-8382
Mailing address:
  • Phone: 240-207-8382
  • Fax: 240-207-8382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA JOHNSON
Title or Position: MANAGER
Credential:
Phone: 240-207-8382