Individual
THOMAS LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L2433
TX
2085R0204X
Vascular & Interventional Radiology Physician
L2433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151174301
—
TX
05
—
151174304
—
TX
01
—
151174305
MEDICAID-CSHCN
TX
01
—
8KE890
BCBS
TX
Enumeration date
10/04/2005
Last updated
04/08/2020
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