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NPI Code Detail

MEDICARE: LUCAS REDD M.D.

MEDICARE: LUCAS REDD M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianQ3775TX

General Provider Information

NPI Number : 1932341435
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS REDD M.D.
Provider Business Mailing Address
First Line : PO BOX 420009
Second Line :
City : HOUSTON
State : TX
Zip : 77242-0009
Country : US
Telephone Number : 214-345-7280
Fax Number : 214-345-4487
Provider Business Practice Location Address
First Line : 8200 WALNUT HILL LN
Second Line : ATTN: PATHOLOGY
City : DALLAS
State : TX
Zip : 75231-4402
Country : US
Telephone Number : 214-345-4920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2009
Last Update Date : 02/26/2026

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