MEDICARE: DR. FLOYD EARL LUCKETT III 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
1	207R00000X	Internal Medicine Physician	G5317	TX

General Provider Information

NPI Number	:	1982790143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLOYD EARL LUCKETT III M.D.

Provider Business Mailing Address
First Line	:	2317 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9111
Country	:	US
Telephone Number	:	713-655-1600
Fax Number	:	713-655-0566

Provider Business Practice Location Address
First Line	:	2317 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9111
Country	:	US
Telephone Number	:	713-655-1600
Fax Number	:	713-655-0566

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	06/12/2026

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