Provider Demographics
NPI:1669819843
Name:LUC, THUAN V (BA)
Entity Type:Individual
Prefix:MR
First Name:THUAN
Middle Name:V
Last Name:LUC
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16840 CLAY RD
Mailing Address - Street 2:STE 117
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4228
Mailing Address - Country:US
Mailing Address - Phone:832-273-0214
Mailing Address - Fax:
Practice Address - Street 1:16840 CLAY RD
Practice Address - Street 2:STE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4228
Practice Address - Country:US
Practice Address - Phone:832-273-0214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other