Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP10046309 | TX |
N | 207V00000X | Obstetrician & Gynecologist | R1422 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R1422 | TX |
NPI | 1285079483 |
---|---|
Provider Name | Luis Alberto Monsivais |
First Address | Austin, TX 78758-5654 |
Second Address | Austin, TX 78758-5653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 16/06/2020 |