NPI age
10 years
Enumerated 2015-08-09
● Active
Type 1 · Individual
Lucas Michal Anderson
Anderson is 1 of 1 physician assistant providers in Watauga and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, CA, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
10 years
≈ at median (10 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Practice location
6317 N Park Dr
Watauga, TX 761481321
Mailing address
6317 N Park Dr
Watauga, TX 761481321
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NV) | LA1225 | |
| 05 (TX) | 1396121646 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.