Provider Demographics
NPI:1922000710
Name:LUX, NICHOLAS E (MD)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:E
Last Name:LUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3565
Mailing Address - Country:US
Mailing Address - Phone:972-276-9902
Mailing Address - Fax:972-276-9819
Practice Address - Street 1:3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Practice Address - Street 2:SUITE 107
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3565
Practice Address - Country:US
Practice Address - Phone:972-276-9902
Practice Address - Fax:972-276-9819
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH0584207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113030705Medicaid
TX8BA942OtherBLUE CROSS BLUE SHIELD