Provider Demographics
NPI:1811170368
Name:TZU CHIAU LU , M.D, PA
Entity type:Organization
Organization Name:TZU CHIAU LU , M.D, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:TZU
Authorized Official - Middle Name:C
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:M,D
Authorized Official - Phone:713-868-9177
Mailing Address - Street 1:PO BOX 70618
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77270-0618
Mailing Address - Country:US
Mailing Address - Phone:713-868-9177
Mailing Address - Fax:281-442-4399
Practice Address - Street 1:427 W 20TH ST STE 212
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2400
Practice Address - Country:US
Practice Address - Phone:713-868-9177
Practice Address - Fax:281-442-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD71632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX082443501Medicaid
TX111413401Medicaid
TX082443501Medicaid
TXB25659Medicare UPIN
TX111413401Medicaid