Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | L1099 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | L1099 | TX |
NPI | 1184642274 |
---|---|
Provider Name | Dr. Lowell T. Ku |
First Address | Frisco, TX 75034-6049 |
Second Address | Frisco, TX 75034-6049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 17/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200521700 | (05) | IN |
64101439 | (05) | KY |
H32249 | (02) | KY |
L1099 | STATE LICENCE (01) | TX |