Individual
THOMAS LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
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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