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Lucas Martinus Suryakusuma, MPAS,PA-C
Physician Assistant in Dallas, Texas
NPI 1982252961

Lucas Martinus Suryakusuma is a Physician Assistant based in Dallas, TX. Lucas Martinus Suryakusuma practices in Dallas, TX and has the professional credentials of MPAS,PA-C. The NPI Number for Lucas Martinus Suryakusuma is 1982252961 and holds a License No. (Texas).

The current practice location address for Lucas Martinus Suryakusuma is 5323 Harry Hines Blvd Stop 7200, Dallas, TX and can be reached out via phone at 214-648-1701.

Location: 5323 Harry Hines Blvd Stop 7200, Dallas, TX, 75284-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982252961
Provider Name
Lucas Martinus Suryakusuma
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
5323 Harry Hines Blvd Stop 7200, Dallas, TX, 75284-7208
Phone Number
214-648-1701
Fax Number
Provider Enumeration Date
09/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd Stop 7200
City
Dallas
State
Texas
Zip
75390-0001
Phone Number
214-648-1701
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd Stop 7200
City
Dallas
State
Texas
Zip
75390-0001
Phone Number
214-648-1701
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA13328 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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