Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | L4358 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | L4358 | TX |
NPI | 1093706889 |
---|---|
Provider Name | Luis E Eguia |
First Address | Mcallen, TX 78502-4449 |
Second Address | Mcallen, TX 78503-1511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 12/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
155684701 | (05) | TX |
155684704 | (05) | TX |
H64448 | (02) |