Provider Demographics
NPI:1033313093
Name:TENORIO, LULU LIU (MD)
Entity Type:Individual
Prefix:
First Name:LULU
Middle Name:LIU
Last Name:TENORIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9087
Mailing Address - Country:US
Mailing Address - Phone:469-207-3563
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:6201 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2224
Practice Address - Country:US
Practice Address - Phone:469-207-3563
Practice Address - Fax:214-645-0078
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM55392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology