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Individual

DR. ROBERT A LUEDECKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12790 FM 1560 #755, HELOTES, TX 78023-2232
(210) 614-3371
(210) 614-1055
Mailing address
PO BOX 240098, SAN ANTONIO, TX 78224-0098
(210) 621-0640
(210) 621-2386

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F9758
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050045895
RAILROAD MEDICARE
TX
01
103527400
USDOL
TX
05
128167705
TX
Enumeration date
09/13/2006
Last updated
12/27/2018
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