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Organization
LUXOR MEDICAL PA
Active
Organization
LUXOR MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GIRGIS M.D. (OWNER)
(832) 286-1664
Entity
Organization
Contact information
Practice address
800 PEAKWOOD DR, SUITE 4A, HOUSTON, TX 77090-2900
(832) 286-1664
(832) 286-1849
Mailing address
800 PEAKWOOD DR, SUITE 4A, HOUSTON, TX 77090-2900
(832) 286-1664
(832) 286-1849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070TE
BCBS GROUP NUMBER
TX
05
—
214703501
—
TX
01
—
214703502
MEDICAID TH STEPS GROUP NUMBER
TX
01
—
214703503
MEDICAID CSHCN (CHILDREN SPECIAL HEALTH CARE NEEDS) GROUP NUMBER
TX
Enumeration date
03/17/2010
Last updated
02/01/2011
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