Organization
RAFAEL A LUGO MD PA
Active
Other names
Lugo Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL A LUGO MD (OWNER/PROVIDER)
(832) 656-8465
Entity
Organization
Contact information
Practice address
17189 INTERSTATE 45 S STE 275, SHENANDOAH, TX 77385-3326
(832) 377-5846
(888) 416-9722
Mailing address
10800 GOSLING RD UNIT 131330, SPRING, TX 77393-4064
(832) 656-8465
(888) 416-9722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K8309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031168004
—
TX
Enumeration date
09/26/2016
Last updated
08/23/2022
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