Individual
DR. MING LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 531-4733
Mailing address
PO BOX 846098, DALLAS, TX 75284-6095
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A90506
CA
207W00000X
Ophthalmology Physician
Primary
L7021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159151305
—
TX
01
—
8V5494
BCBS
TX
01
—
TIN PLUS 021
TRICARE
TX
Enumeration date
06/28/2005
Last updated
10/13/2014
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