Provider Demographics
NPI:1275863433
Name:LU, AOJING (MD)
Entity Type:Individual
Prefix:
First Name:AOJING
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 OAK LAWN AVE
Mailing Address - Street 2:STE. 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4236
Mailing Address - Country:US
Mailing Address - Phone:214-597-6279
Mailing Address - Fax:214-599-8999
Practice Address - Street 1:3300 OAK LAWN AVE
Practice Address - Street 2:STE. 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4236
Practice Address - Country:US
Practice Address - Phone:214-597-6279
Practice Address - Fax:214-599-8999
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2014-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10031951207L00000X
TXP3645207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01095330OtherRAILROAD MEDICARE
TX301802001Medicaid
TX301802002Medicaid
TXP01095330OtherRAILROAD MEDICARE