MEDICARE: MR. NICHOLAS E LUX MD

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	207V00000X	Obstetrics & Gynecology Physician	H0584	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8BA942	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1922000710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS E LUX MD

Provider Business Mailing Address
First Line	:	3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Second Line	:	SUITE 107
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3565
Country	:	US
Telephone Number	:	972-276-9902
Fax Number	:	972-276-9819

Provider Business Practice Location Address
First Line	:	3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Second Line	:	SUITE 107
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3565
Country	:	US
Telephone Number	:	972-276-9902
Fax Number	:	972-276-9819

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	03/18/2014

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Directions to “ MR. NICHOLAS E LUX MD” Practice Location

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