Provider Demographics
NPI:1578097135
Name:LUFT, JOHN PAUL (BABTS, BC-ACC/APC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PAUL
Last Name:LUFT
Suffix:
Gender:M
Credentials:BABTS, BC-ACC/APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 E CALIFORNIA PKWY
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76119-7571
Mailing Address - Country:US
Mailing Address - Phone:682-272-9995
Mailing Address - Fax:
Practice Address - Street 1:4615 E CALIFORNIA PKWY
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76119-7571
Practice Address - Country:US
Practice Address - Phone:682-272-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner