Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucas Michal Anderson

Individual provider Medical Physician Assistant · NPI 1396121646

Lucas Michal Anderson is a Medical Physician Assistant in Watauga, Texas. Practices as a sole proprietor. Licensed in California, Nevada and Texas.

Licensed in
CA, NV, TX
In the registry since
2015
Specialties on file
3

Practice location Address checks out

6317 N Park Dr
Watauga, TX 76148-1321
Phone: (707) 738-0510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14846 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 52540 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1668 (NV)

Record details

NPI number1396121646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2015
Last updated in NPPESNovember 13, 2022
Certification dateNovember 13, 2022