Provider Demographics
NPI:1760457535
Name:LUU, NGUYEN T (MD)
Entity Type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:T
Last Name:LUU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:211 HIGHLAND CROSS DR
Mailing Address - Street 2:275
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1733
Mailing Address - Country:US
Mailing Address - Phone:281-200-2211
Mailing Address - Fax:
Practice Address - Street 1:200 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4204
Practice Address - Country:US
Practice Address - Phone:281-865-7096
Practice Address - Fax:281-289-8930
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0802207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760457535OtherBCBS
TX8M1455OtherBCBSTX
TX1760457535OtherTRICARE SOUTH
TX176213004Medicaid
TX8DE900OtherBLUE CROSS BLUE SHIELD OF TEXAS
TXP01401050OtherRAILROAD MEDICARE
TX176213003Medicaid
TX1760457535Medicare PIN
TXI34762Medicare UPIN
TX1760457535OtherTRICARE SOUTH
TXP01401050OtherRAILROAD MEDICARE
TX8G6102Medicare PIN