Provider Demographics
NPI:1174910889
Name:LU, JIAXIN (MD)
Entity type:Individual
Prefix:DR
First Name:JIAXIN
Middle Name:
Last Name:LU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 CORPORATE DR STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3457
Mailing Address - Country:US
Mailing Address - Phone:713-981-8898
Mailing Address - Fax:713-271-9859
Practice Address - Street 1:6360 CORPORATE DR STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3457
Practice Address - Country:US
Practice Address - Phone:713-981-8898
Practice Address - Fax:713-271-9859
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine