Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | 93846 | TX |
NPI | 1366118598 |
---|---|
Provider Name | Joshua Abraham Luna |
First Address | Brownsville, TX 78523-4836 |
Second Address | Brownsville, TX 78520-7521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2021 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93846 | ASSISTIVE TECHNOLOGY PROFESSIONAL (01) | TX |