Provider Demographics
NPI:1578022711
Name:LUCKIE, TAYLOR MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:MORGAN
Last Name:LUCKIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST STE 1510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2613
Mailing Address - Country:US
Mailing Address - Phone:832-822-4242
Mailing Address - Fax:832-825-1453
Practice Address - Street 1:6701 FANNIN ST FL 14
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-822-4242
Practice Address - Fax:832-825-9302
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program