MEDICARE: EPIC BRAIN CENTERS - LUU PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician
2	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1659194116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPIC BRAIN CENTERS - LUU PLLC

Provider Business Mailing Address
First Line	:	2017 PINTO LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4018
Country	:	US
Telephone Number	:	775-227-0455
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 PINTO LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4018
Country	:	US
Telephone Number	:	702-333-2620
Fax Number	:

Authorized Official
Title or Position	:	MANAGER / OWNER
Name	:	VU LUU
Credential	:	MD
Telephone Number	:	702-292-3931

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/06/2025

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