MEDICARE: MRS. CAROL O LUCAS CRNA

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	367500000X	Certified Registered Nurse Anesthetist	518261	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100878100	OTHER	TX	FIRSTCARE
2	00C59R	OTHER	TX	BLUE CROSS BLUE SHIELD
3	742929703	OTHER	TX	HUMANA/MILITARY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487642260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL O LUCAS CRNA

Provider Business Mailing Address
First Line	:	8408 TYHURST DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-3522
Country	:	US
Telephone Number	:	512-751-0753
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 HIGHWAY 71 E
Second Line	:
City	:	BASTROP
State	:	TX
Zip	:	78602-5126
Country	:	US
Telephone Number	:	512-751-0753
Fax Number	:

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	05/21/2008

Similar Medicare Providers

1851323240 — LAKESIDE HOSPITAL AT BASTROP, LTD
Practice Location Address:

3201 HIGHWAY 71 E
BASTROP, TX
78602-5126

Practice Phone: 512-321-8200
Practice Fax: 512-321-8701

1932373123 — TRANQUIL TRANSITIONS
Practice Location Address:

3201 HIGHWAY 71 E
BASTROP, TX
78602-5126

Practice Phone: 512-321-8269
Practice Fax:

1881823151 — BASTROP BLACKHAWK LLC
Practice Location Address:

3201 HIGHWAY 71 E
BASTROP, TX
78602-5126

Practice Phone: 512-321-8200
Practice Fax:

1215266606 — LONE STAR EMERGENCY ASSOCIATES, LLC
Practice Location Address:

3201 HIGHWAY 71 E
BASTROP, TX
78602-5126

Practice Phone: 512-321-8200
Practice Fax: 512-321-8701

1740143502 — MATTHEW MCCASKILL ROBBINS
Practice Location Address:

59 TX-150 LOOP
BASTROP, TX
78602

Practice Phone: 512-321-6161
Practice Fax:

1023972270 — PARIAH VENTURES GROUP LLC
Practice Location Address:

702 W STATE HIGHWAY 71 # 1015
BASTROP, TX
78602-4029

Practice Phone: 979-505-9174
Practice Fax: 855-945-3878

Directions to “ MRS. CAROL O LUCAS CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.