| Doctor Name: | LUKE THOMAS SURRY |
| NPI Number: | 1952694135 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101253322 |
| Business Practice Address: | 2200 Bergquist Dr Internal Medicine/sg05v Jbsa Lackland, TX - 782369907 |
| Business Phone Number: | 2102927805 |
| Business Fax Number: | 2102926874 |
| Mailing Address: | 2200 Bergquist Dr, Internal Medicine/sg05v JBSA LACKLAND |
| State: | TX |
| Postal Code: | 782369907 |
| Phone Number: | 2102927805 |
| Fax Number: | 2102926874 |
| NPI Enumeration Date: | 05/23/2011 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101253322 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |