Organization
PHYSICIAN OVERSIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK LUEKENGA (CEO)
(801) 808-9538
Entity
Organization
Contact information
Practice address
550 N CENTRAL EXPY, UNIT 707, MCKINNEY, TX 75070
(855) 864-4322
Mailing address
DEPT 880256 PO BOX 29650, PHOENIX, AZ 85038-9650
(855) 864-4322
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
08/18/2025
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