Provider Demographics
NPI:1831873884
Name:LUU, TRI XUAN (PHARMD)
Entity type:Individual
Prefix:
First Name:TRI
Middle Name:XUAN
Last Name:LUU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 OAKMONT CT
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4056
Mailing Address - Country:US
Mailing Address - Phone:832-283-3246
Mailing Address - Fax:
Practice Address - Street 1:2222 I 45 N
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1706
Practice Address - Country:US
Practice Address - Phone:936-441-7379
Practice Address - Fax:936-788-7322
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677871835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist