P Praxis·MD
● Active Type 1 · Individual

MR. Thomas Mark Lutrick, PA-C

Physician Assistant·Colleyville, TX· NPI 1831137272 · Enumerated 2006 · 19 years on NPI
Lutrick is 1 of 8 physician assistant providers in Colleyville and 1 of 1890 in Texas.
NPI age
19 years
Enumerated 2006-06-04
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-10-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
4701 Manning Dr
Colleyville, TX 760344220
📞 2142272457
Mailing address
Po Box 1255
Colleyville, TX 760341255
📞 2142272457

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA03123 taxonomy 363AS0400X

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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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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