Individual
MR. LUKE DAVID MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-2800
(214) 645-2808
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-2800
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126032
TX
363LF0000X
Family Nurse Practitioner
AP126032
TX
Other
Enumeration date
08/21/2014
Last updated
12/23/2014
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