MEDICARE: LUKE A. BRUNS 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	2080P0202X	Pediatric Cardiology Physician	V1401	TX

General Provider Information

NPI Number	:	1992812226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE A. BRUNS M.D.

Provider Business Mailing Address
First Line	:	8210 WALNUT HILL LN STE 208
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4488
Country	:	US
Telephone Number	:	214-363-0000
Fax Number	:	214-692-4686

Provider Business Practice Location Address
First Line	:	8210 WALNUT HILL LN STE 208
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4488
Country	:	US
Telephone Number	:	214-363-0000
Fax Number	:	214-692-4686

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/13/2025

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