Individual ProviderLucas NjoAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Lucas Njo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1164468930Provider TypeIndividualFull NameNjo, LucasCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/21/2006Last Updated7/22/2022Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0001Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL5075TexasCode207LP2900XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL5075TexasProvider IdentifiersIDDescriptionIssuerID194087603DescriptionMedicaidIssuerUnlistedTexasID8EH841DescriptionOtherIssuerBCBSTexasIDP01446496DescriptionOtherIssuerRRTexas