Lutz, Teresa Brewer

Lutz, Teresa Brewer is an individual health care provider with primary practice located at 555 E Medical Center Blvd Suite 101, Webster TX 77598-4326. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lutz, Teresa Brewer can be contacted via phone (281) 488-7213.

Contact Information

Primary practice address
555 E Medical Center Blvd Suite 101 Webster TX 77598-4326
Fax: (281) 480-1623
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04177TG Texas

Profile Details

NPI number 1962406496
LBN Legal business name Lutz, Teresa Brewer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962406496 NPPES
Texas MEDICAID 124223203

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