| Luna Pediatric And Family Clinic, Llc | |
|
322 S. Broadway, Suite 4 Elsa TX 78543 | |
| (956) 490-9190 | |
| Not Available |
| Full Name | Luna Pediatric And Family Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 322 S. Broadway, Suite 4, Elsa, Texas |
| Authorized Official Name and Position | Fernando Luna (OWNER) |
| Authorized Official Contact | 9564909190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Pediatric And Family Clinic, Llc 322 S. Broadway, Suite 4 Elsa TX 78543 Ph: (956) 490-9190 | Luna Pediatric And Family Clinic, Llc 322 S. Broadway, Suite 4 Elsa TX 78543 Ph: (956) 490-9190 |
| NPI Number | 1386487049 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 4789110354 |
|---|---|
| Medicare Enrollment ID | O20241205002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386487049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fernando Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750747226 PECOS PAC ID: 5597068601 Enrollment ID: I20160226000105 |
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