Provider Demographics
NPI:1154369775
Name:LOUKAS, DEMETRIUS F JR (MD)
Entity type:Individual
Prefix:DR
First Name:DEMETRIUS
Middle Name:F
Last Name:LOUKAS
Suffix:JR
Gender:M
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:901 W 38TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1165
Practice Address - Country:US
Practice Address - Phone:512-419-9733
Practice Address - Fax:512-451-3709
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8329207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BP228OtherBCBS OF TX
TX830004591OtherRAILROAD MEDICARE NUMBER
TX135735202Medicaid
TXP00664385OtherRAILROAD MEDICARE
TX830004591OtherRAILROAD MEDICARE NUMBER
TX8BP228OtherBCBS OF TX
TX89543FMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TX135735202Medicaid