Individual
ALDA LUI TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182779201
—
TX
01
—
8S2146
BCBS
TX
01
—
P00347276
RR MEDICARE
TX
Enumeration date
08/14/2006
Last updated
06/20/2012
Update your record
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