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Reeju Ellookunnel Lukose, PA
Surgical Physician Assistant in Houston, Texas
NPI 1043512858

Reeju Ellookunnel Lukose is a Surgical Physician Assistant based in Houston, TX and is specialized in Surgical. Reeju Ellookunnel Lukose practices in Houston, TX and has the professional credentials of PA. The NPI Number for Reeju Ellookunnel Lukose is 1043512858 and holds a License No. 014197 (Texas).

The current practice location address for Reeju Ellookunnel Lukose is 6550 Fannin St, Houston, TX and can be reached out via phone at 713-790-1818 and via fax at 713-790-7500.

Location: 6550 Fannin St, Houston, TX, 77030-2717
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Provider Profile Details
NPI Number
1043512858
Provider Name
Reeju Ellookunnel Lukose
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6550 Fannin St, Houston, TX, 77030-2717
Phone Number
713-790-1818
Fax Number
713-790-7500
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8800NV 01 TX BLUE CROSS BLUE SHIELD
356622602 05 TX
institution
Provider Business Practice Location Address Details
Address
6550 Fannin St
City
State
Zip
77030-2717
Phone Number
713-790-1818
Fax Number
713-790-7500
person
Provider Business Mailing Address Details
Address
6550 Fannin St
City
State
Zip
77030-2717
Phone Number
713-790-1818
Fax Number
713-790-7500
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
014197 (New York)
Definition
Definition to come...
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