Provider Demographics
NPI:1851472138
Name:LU, GUO KANG (OMD)
Entity Type:Individual
Prefix:MR
First Name:GUO
Middle Name:KANG
Last Name:LU
Suffix:
Gender:M
Credentials:OMD
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Mailing Address - Street 1:8282 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 128
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-272-6883
Mailing Address - Fax:713-272-6883
Practice Address - Street 1:8282 BELLAIRE BLVD
Practice Address - Street 2:SUITE 128
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-272-6883
Practice Address - Fax:713-272-6883
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAC00244171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist