Doctor Name: | ANSHU LUTHAR |
NPI Number: | 1790748523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | Q2236 |
Business Practice Address: | 1250 S Capital Of Texas Hwy Bld 1 Suite 500 West Lake Hills, TX - 787466446 |
Business Phone Number: | 8889800505 |
Business Fax Number: | 5124857393 |
Mailing Address: | Po Box 160247, AUSTIN |
State: | TX |
Postal Code: | 787160247 |
Phone Number: | 8889800505 |
Fax Number: | 5124857393 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | Q2236 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |