MEDICARE: LACY LYNETTE WILKINS

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	225100000X	Physical Therapist	1349272	TX

General Provider Information

NPI Number	:	1649062563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACY LYNETTE WILKINS

Provider Business Mailing Address
First Line	:	3411 ACACIA GROVE LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-5056
Country	:	US
Telephone Number	:	713-824-2302
Fax Number	:

Provider Business Practice Location Address
First Line	:	19298 W LAKE HOUSTON PKWY STE 240
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-4827
Country	:	US
Telephone Number	:	832-828-4990
Fax Number	:

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

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

Similar Medicare Providers

1336617299 — OMMAR ORTUVIA PT
Practice Location Address:

19298 W LAKE HOUSTON PKWY STE 240
HUMBLE, TX
77346-4827

Practice Phone: 832-828-4990
Practice Fax:

1821660127 — MS. CLARISSA BALDERAS
Practice Location Address:

19298 W LAKE HOUSTON PKWY
HUMBLE, TX
77346-4827

Practice Phone: 832-828-4900
Practice Fax:

1750172748 — BLAKE HASTINGS DR.
Practice Location Address:

19298 W LAKE HOUSTON PKWY
HUMBLE, TX
77346-4827

Practice Phone: 281-513-4505
Practice Fax:

1023970308 — BAILEY LUKE PT, DPT
Practice Location Address:

19298 W LAKE HOUSTON PKWY
HUMBLE, TX
77346-4827

Practice Phone: 832-828-4900
Practice Fax:

1679420731 — DENILSON GUILLERMO CALDERON
Practice Location Address:

18525 W LAKE HOUSTON PKWY STE 102A
HUMBLE, TX
77346-3446

Practice Phone: 281-361-4327
Practice Fax: 281-361-3094

1215885371 — ALEXIS DESIREE BROWN
Practice Location Address:

18401 TIMBER FOREST DR
HUMBLE, TX
77346-2535

Practice Phone: 210-447-0039
Practice Fax:

Directions to “ LACY LYNETTE WILKINS ” 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 © 2007-2026 (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.