Individual
DR. THIRU VENKAT LAKSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13915 N. MOPAC EXPWY, SUITE 100, AUSTIN, TX 78728
(512) 418-1979
(512) 628-0455
Mailing address
4106 MEDICAL PKWY, AUSTIN, TX 78756-3722
(512) 418-1979
(512) 418-1943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425598
PA
174400000X
Specialist
N6906
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
N6906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219790701
—
TX
Enumeration date
03/05/2007
Last updated
06/28/2019
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