Active NPI
Glynda Williams Lucas, M.D.
- Pediatrics Physician
- Fort Hood, TX
National Provider Identifier
1801996376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M0155
- Practice address
- Carl R. Darnall Army Medical Center
36000 Darnall Loop
Fort Hood, TX 76544 - Phone
- (254) 288-8482
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M0155 | TX | Primary |
Addresses
Primary practice location
Carl R. Darnall Army Medical Center
36000 Darnall Loop
Fort Hood, TX 76544
Mailing address
3399 Upton Drive
Kempner, TX 76539-5031
Phone (254) 542-7257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0155 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801996376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 UPTON DRIVE",
"city": "KEMPNER",
"state": "TX",
"postal_code": "765395031",
"telephone_number": "254-542-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARL R. DARNALL ARMY MEDICAL CENTER",
"address_2": "36000 DARNALL LOOP",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "GLYNDA",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M0155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.