Individual
CARLOS LUGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 LANGDON LN, HOUSTON, TX 77074-6121
(956) 650-3547
Mailing address
6830 LANGDON LN, HOUSTON, TX 77074-6121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
TX
Enumeration date
01/10/2023
Last updated
01/10/2023
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