Individual
RAFAEL A LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17189 I 45 S STE 275, SHENANDOAH, TX 77385-3326
(832) 377-5846
(888) 416-9722
Mailing address
PO BOX 131330, SPRING, TX 77393-1330
(832) 377-5846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K8309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053268
RAILROAD MEDICARE
TX
05
—
031168002
—
TX
05
—
031168003
—
TX
05
—
031168004
—
TX
05
—
031168005
—
TX
01
—
1245224492
BLUE CROSS BLUE SHIELD
TX
05
—
401312001
—
TX
01
—
5363822
AETNA
TX
01
—
87670Z
HMO BLUE
TX
01
—
8F6737
BCBS
TX
Enumeration date
09/02/2005
Last updated
08/23/2022
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