MEDICARE: ANH KIM LUU M.D.

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	207L00000X	Anesthesiology Physician	G6964	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MDG6964	OTHER	TX	WORKERS COMP

General Provider Information

NPI Number	:	1548309958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH KIM LUU M.D.

Provider Business Mailing Address
First Line	:	8707 STABLE CREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-7032
Country	:	US
Telephone Number	:	713-681-9185
Fax Number	:	713-681-3744

Provider Business Practice Location Address
First Line	:	4151 SOUTHWEST FWY
Second Line	:	410
City	:	HOUSTON
State	:	TX
Zip	:	77027-7312
Country	:	US
Telephone Number	:	713-222-7246
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/09/2007

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