Individual
DR. THOMAS E. LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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