Provider Demographics
NPI:1013937531
Name:LUX, ANTHONY EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EDWARD
Last Name:LUX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 FERGUSON ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2943
Mailing Address - Country:US
Mailing Address - Phone:940-565-1200
Mailing Address - Fax:940-565-1201
Practice Address - Street 1:116 FERGUSON ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2943
Practice Address - Country:US
Practice Address - Phone:940-565-1200
Practice Address - Fax:940-565-1201
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6882111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
10007564OtherAMERIGROUP
8262811OtherBLUE LINK
605525OtherBCBS
TX618579OtherACN
107038OtherAMERICAID
2295269OtherAETNA HMO
7686074OtherAETNA PPO
618579OtherUNITED HEALTHCARE
TX001945701Medicaid
140030ANOtherPREFERRED CARE
39-1886617OtherNT HEALTH NETWORK
TX618579OtherACN