Provider Demographics
NPI:1467418863
Name:CESAR, LUIZ G (MD)
Entity Type:Individual
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First Name:LUIZ
Middle Name:G
Last Name:CESAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5219 CITY BANK PKWY
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3544
Mailing Address - Country:US
Mailing Address - Phone:806-785-7676
Mailing Address - Fax:806-722-2908
Practice Address - Street 1:3502 9TH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3300
Practice Address - Country:US
Practice Address - Phone:806-761-0737
Practice Address - Fax:806-761-0738
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
TXK6545207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF10928Medicare UPIN