Individual
DR. EDWARD T. LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78053
AZ
207R00000X
Internal Medicine Physician
V1826
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
V1826
TX
208M00000X
Hospitalist Physician
V1826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R78053
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/29/2020
Last updated
09/10/2024
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