Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10045903 | TX |
N | 111NI0900X | Internist | BP10045903 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | R2400 | TX |
NPI | 1073959326 |
---|---|
Provider Name | Dr. Eduardo Dusty Luna |
First Address | Mcallen, TX 78504-2279 |
Second Address | Edinburg, TX 78539-1803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 24/06/2020 |