Individual
BIJU M LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4541 N JOSEY LANE, SUITE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Mailing address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
254454
NY
207P00000X
Emergency Medicine Physician
M7387
TX
208600000X
Surgery Physician
254454
NY
208600000X
Surgery Physician
M7383
TX
208600000X
Surgery Physician
M7387
TX
208D00000X
General Practice Physician
254454
NY
208D00000X
General Practice Physician
Primary
M7387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188486815
—
TX
Enumeration date
07/27/2007
Last updated
03/01/2024
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