| Organization Name: | DR.BIJU MATHEW LUKOSE MD FACS P.L.L.C. |
| NPI Number: | 1861829715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BIJU LUKOSE (CEO) |
| Mailing Address: | 1903 Castlegate Dr Henderson |
| State: | TX US |
| Postal Code: | 756542501 |
| Phone Number: | 9032132255 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2013 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | M7387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |