Provider Demographics
NPI:1235873217
Name:LUU, HUNG K (FNP)
Entity Type:Individual
Prefix:
First Name:HUNG
Middle Name:K
Last Name:LUU
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5990 AIRLINE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4237
Mailing Address - Country:US
Mailing Address - Phone:832-307-2270
Mailing Address - Fax:
Practice Address - Street 1:5990 AIRLINE DR STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4237
Practice Address - Country:US
Practice Address - Phone:832-307-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF04220143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily