Provider Demographics
NPI:1851340509
Name:LUCCI, ANTHONY P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:LUCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 SAN FELIPE ST
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1707
Mailing Address - Country:US
Mailing Address - Phone:713-975-8353
Mailing Address - Fax:713-975-1143
Practice Address - Street 1:7500 SAN FELIPE ST
Practice Address - Street 2:SUITE 1050
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1707
Practice Address - Country:US
Practice Address - Phone:713-975-8353
Practice Address - Fax:713-975-1143
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1235207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G9490OtherBLUE CROSS BLUE SHIELD
TX114150902Medicaid
TX114150902Medicaid
TX8J5226Medicare PIN