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H.peyton Luckett, M.d., Pa
Primary Care Clinic/Center in Tyler, Texas
NPI 1225386071

H.peyton Luckett, M.d., Pa is a Primary Care Clinic/Center based in Tyler, TX and is specialized in Primary Care. H.peyton Luckett, M.d., Pa practices in Tyler, TX. The NPI Number for H.peyton Luckett, M.d., Pa is 1225386071 and holds a License No. E6130 (Texas).

The current practice location address for H.peyton Luckett, M.d., Pa is 700 Olympic Plaza Cir Ste 503, Tyler, TX and can be reached out via phone at 903-595-2211 and via fax at 903-595-1397.

Location: 700 Olympic Plaza Cir Ste 503, Tyler, TX, 75701-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225386071
Provider Name
H.peyton Luckett, M.d., Pa
Credential
Provider Entity Type
Organization
Address
700 Olympic Plaza Cir Ste 503, Tyler, TX, 75701-1952
Phone Number
903-595-2211
Fax Number
903-595-1397
Provider Enumeration Date
08/28/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir Ste 503
City
Tyler
State
Texas
Zip
75701-1952
Phone Number
903-595-2211
Fax Number
903-595-1397
person
Provider Business Mailing Address Details
Address
700 Olympic Plaza Cir Ste 503
City
Tyler
State
Texas
Zip
75701-1952
Phone Number
903-595-2211
Fax Number
903-595-1397
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
E6130 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
E6130 (Texas)
Definition
Definition to come...
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