Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | M8144 | TX |
NPI | 1053594994 |
---|---|
Provider Name | Maria G. Luna |
First Address | San Antonio, TX 78216-6254 |
Second Address | San Antonio, TX 78229-3818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2007 |
Last Update Date | 14/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203269003 | (05) | TX |
P00884456 | MEDICARE RAILROAD (01) | TX |