Individual
DANIEL C LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 W EULESS BLVD, EULESS, TX 76040-6253
(817) 702-1100
(817) 702-6493
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117495504
—
TX
01
—
8U1344
BCBS
TX
Enumeration date
03/14/2006
Last updated
11/07/2018
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