Individual
DR. THOMAS E. LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7125 NEW SANGER AVENUE, STE A, WACO, TX 76712-4054
(254) 399-5400
(254) 772-8669
Mailing address
PO BOX 21327, WACO, TX 76702-1327
(254) 399-5400
(254) 772-8669
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F5629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100347101
FIRSTCARE
TX
01
—
116375503
UNITED HEALTHCARE
TX
05
—
135953105
—
TX
05
—
135953107
—
TX
01
—
4341155
AETNA
TX
01
—
74178408876712A005
TRICARE
TX
01
—
757621
FIRSTHEALTH
TX
01
—
816586
BLUE CROSS
TX
01
—
93919
SWHP
TX
Enumeration date
06/09/2005
Last updated
10/07/2011
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