Provider Demographics
NPI:1255509907
Name:LUKE PERIS MD
Entity Type:Organization
Organization Name:LUKE PERIS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-984-1404
Mailing Address - Street 1:14800 QUORUM DR STE 465
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1420
Mailing Address - Country:US
Mailing Address - Phone:972-661-2066
Mailing Address - Fax:972-661-0313
Practice Address - Street 1:14800 QUORUM DR STE 465
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1420
Practice Address - Country:US
Practice Address - Phone:972-661-2066
Practice Address - Fax:972-661-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty