Organization
J.SCOTT LUTHER, M.D., P.A
Active
Other names
Program Picante
Organization subpart
No
Provider details
NPI number
Authorized official
J.SCOTT LUTHER M.D.,P.A. (PRESIDENT)
(210) 615-8070
Entity
Organization
Contact information
Practice address
4410 MEDICAL DR, SUITE 240, SAN ANTONIO, TX 78229-6306
(210) 615-8070
(210) 615-6645
Mailing address
4410 MEDICAL DR, SUITE240, SAN ANTONIO, TX 78229-6306
(210) 615-8070
(210) 615-6645
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077WK
BCBS
TX
05
—
099320603
—
TX
Enumeration date
11/15/2010
Last updated
06/28/2011
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