Provider Demographics
NPI:1548309958
Name:LUU, ANH KIM (MD)
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:KIM
Last Name:LUU
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 1:8707 STABLE CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7032
Mailing Address - Country:US
Mailing Address - Phone:713-681-9185
Mailing Address - Fax:713-681-3744
Practice Address - Street 1:4151 SOUTHWEST FWY
Practice Address - Street 2:410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7312
Practice Address - Country:US
Practice Address - Phone:713-222-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6964207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMDG6964OtherWORKERS COMP
TXC18622Medicare UPIN
TXMDG6964OtherWORKERS COMP