Lucas Martinus Suryakusuma, MPAS, PA-C

Physician assistant in Dallas, Texas · NPI 1982252961

Lucas Suryakusuma is one of 1,330 physician assistants practicing in Dallas, Texas. Lucas Suryakusuma practices with University Of Texas Southwestern Medical Center At Dallas.

Registry record (NPPES)

NPI
1982252961
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-0001
(214) 648-1701
Enumerated
Sep 3, 2019
Record last updated
Apr 3, 2020
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Full enrollment history
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Practice locations

More physician assistants in Dallas

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.