Victor Ivan Lugo-miro, MD | |
3036 Northpark Drive, Kingwood, TX 77339 | |
(281) 360-8501 | |
(281) 360-8617 |
Full Name | Victor Ivan Lugo-miro |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 43 Years |
Location | 3036 Northpark Drive, Kingwood, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104934017 | NPI | - | NPPES |
080241501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H6890 (Texas) | Secondary |
208000000X | Pediatrics | H6890 (Texas) | Secondary |
208D00000X | General Practice | H6890 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kingwood Medical Center | Kingwood, TX | Hospital |
Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Gulf Coast Pllc | 4688999022 | 397 |
Select Physical Therapy Texas Limited Partnership | 6608868070 | 596 |
Victor Lugo Miro Md Pa | 6709805575 | 3 |
Entity Name | Victor Lugo Miro Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861681975 PECOS PAC ID: 6709805575 Enrollment ID: O20091120000283 |
Entity Name | Privia Medical Group Gulf Coast Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
Mailing Address | Practice Location Address |
---|---|
Victor Ivan Lugo-miro, MD 3036 Northpark Drive, Kingwood, TX 77339 Ph: (281) 360-8501 | Victor Ivan Lugo-miro, MD 3036 Northpark Drive, Kingwood, TX 77339 Ph: (281) 360-8501 |
Duane Olson, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 2606 S Strathford Ln, Kingwood, TX 77345 Phone: 281-360-0133 | |
Ndifreke Ekpa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8934 | |
Dr. E'joven Davon Reed, DO General Practice Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N Ste 105, Kingwood, TX 77339 Phone: 281-348-3322 | |
Syed Danyal Raza, General Practice Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N Ste 105, Kingwood, TX 77339 Phone: 281-348-3322 | |
Srinidhi Shyamkumar, DO General Practice Medicare: Medicare Enrolled Practice Location: 22999 Us-59 North, Kingwood, TX 77339 Phone: 281-348-8000 | |
Tate Sheppard Stauffer, General Practice Medicare: Not Enrolled in Medicare Practice Location: 22999 Us-59 N, Kingwood, TX 77339 Phone: 281-348-8000 |