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Contact Information

PHUONG LUU, PA
1935 MEDICAL DISTRICT DR
DALLAS, TX75235-7701
 Phone: 214-456-2331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHUONG LUU · (Female)

NPI Number 1649257353
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/23/2005
Last updated 11/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000957
  • TX License # PA05428
  • TX Medicaid 191512601
  • CT Other 290000957CT02 BCBS
  • TX Other 8Y3171 BCBS OF TEXAS
  • TX Other 9490683 PHCS
  • TX Other 752616977008 TRICARE
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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