Provider Demographics
NPI:1215932900
Name:LU, SHI-TZE (MD)
Entity type:Individual
Prefix:DR
First Name:SHI-TZE
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4543 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3160
Mailing Address - Country:US
Mailing Address - Phone:713-797-1087
Mailing Address - Fax:713-797-9814
Practice Address - Street 1:4543 POST OAK PLACE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3160
Practice Address - Country:US
Practice Address - Phone:713-797-1087
Practice Address - Fax:713-797-9814
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK3610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G54701Medicare UPIN
8B2934Medicare PIN