MEDICARE: CHRISTOPHER L LUX

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	207R00000X	Internal Medicine Physician	G5320	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00466535	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5K575	OTHER	AR	BCBS ARKANSAS
2	200120690A	OTHER	OK	OKLAHOMA HEALTHCARE AUTHO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	8X9803	OTHER	TX	BCBS TEXAS

General Provider Information

NPI Number	:	1346207255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L LUX

Provider Business Mailing Address
First Line	:	2602 SAINT MICHAEL DR
Second Line	:	SUITE 205
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2387
Country	:	US
Telephone Number	:	903-614-5111
Fax Number	:	903-614-5114

Provider Business Practice Location Address
First Line	:	2602 SAINT MICHAEL DR
Second Line	:	SUITE 205
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2387
Country	:	US
Telephone Number	:	903-614-5111
Fax Number	:	903-614-5114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	12/15/2008

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Directions to “ CHRISTOPHER L LUX ” Practice Location

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