Individual
J. SCOTT LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 MEDICAL DR, SUITE 240, SAN ANTONIO, TX 78229-3749
(210) 615-8070
(210) 615-6645
Mailing address
4410 MEDICAL DR, SUITE 240, SAN ANTONIO, TX 78229-3749
(210) 615-8070
(210) 615-6645
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G9616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L57K
BCBS PROVIDER ID
TX
05
—
220515501
—
TX
01
—
8CT354
BCBS
TX
Enumeration date
06/10/2006
Last updated
06/28/2011
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