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Individual

DR. ROBERT J LUEKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-5000
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0101234866
VA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
P3761
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101234866
MEDICINE AND SURGERY
VA
05
308101001
TX
05
308101002
TX
05
308101003
TX
05
308101004
TX
01
75-0818167-015
TRICARE
TX
01
75-0818167-022
TRICARE
TX
01
75-0818167-044
TRICARE
TX
01
75-0818167-048
TRICARE
TX
01
75-1976930-005
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
8AM874
BCBS
TX
01
8DL528
BCBS
TX
01
8DL531
BCBS
TX
01
8DU478
BCBS
TX
01
P01118234
RAIL ROAD
TX
01
P01118262
RAIL ROAD
TX
01
P01304443
RAIL ROAD
TX
Enumeration date
08/01/2005
Last updated
10/27/2014
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