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Individual

CHRISTOPHER L LUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2602 SAINT MICHAEL DR, SUITE 205, TEXARKANA, TX 75503-2387
(903) 614-5111
(903) 614-5114
Mailing address
2602 SAINT MICHAEL DR, SUITE 205, TEXARKANA, TX 75503-2387
(903) 614-5111
(903) 614-5114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G5320
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112378001
AR
05
176094401
TX
01
200120690A
OKLAHOMA HEALTHCARE AUTHO
OK
01
5K575
BCBS ARKANSAS
AR
01
8X9803
BCBS TEXAS
TX
01
P00466535
RR MEDICARE
TX
Enumeration date
04/26/2006
Last updated
12/15/2008
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