Provider Demographics
NPI:1699349605
Name:LUO, LIN
Entity type:Individual
Prefix:
First Name:LIN
Middle Name:
Last Name:LUO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 CHENEVERT ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5662
Mailing Address - Country:US
Mailing Address - Phone:832-661-5545
Mailing Address - Fax:
Practice Address - Street 1:7850 PARKWOOD CIRCLE DR STE B-9
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6761
Practice Address - Country:US
Practice Address - Phone:832-661-5545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health