Individual
EDWARD A. LUKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 BROOK AVE, WICHITA FALLS, TX 76301-5007
(940) 397-3143
Mailing address
1000 BROOK AVE, WICHITA FALLS, TX 76301-5007
(940) 552-9901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F9759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127791505
—
TX
Enumeration date
03/29/2007
Last updated
07/11/2013
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