Individual
ROBERT FRANK LUTZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6422
(817) 557-8205
Mailing address
P O BOX 960046, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J4314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096831501
—
TX
01
—
85V305
BCBS THRU HEB
TX
01
—
930043188
RAILROAD MCARE THRU HEB
TX
Enumeration date
02/23/2006
Last updated
07/23/2014
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