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

Mary Luckasen

Individual provider Internal Medicine Physician · NPI 1366199754

Mary Luckasen is an Internal Medicine Physician in Jbsa Ft Sam Houston, Texas. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2022

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-5910
Fax: (210) 916-2077
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR.0071968 (CO)

Record details

NPI number1366199754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2022
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

Other providers in Jbsa Ft Sam Houston