| Victor Lugo Miro Md Pa | |
|
3036 Northpark Dr Kingwood TX 77339-5114 | |
| (281) 360-8501 | |
| (281) 360-8617 |
| Full Name | Victor Lugo Miro Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3036 Northpark Dr, Kingwood, Texas |
| Authorized Official Name and Position | Victor I Lugo Miro (CEO/OWNER) |
| Authorized Official Contact | 2813608501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Lugo Miro Md Pa 3036 Northpark Dr Kingwood TX 77339-5114 Ph: (281) 360-8501 | Victor Lugo Miro Md Pa 3036 Northpark Dr Kingwood TX 77339-5114 Ph: (281) 360-8501 |
| NPI Number | 1861681975 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861681975 | NPI | - | NPPES |
| 080241501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H6890 (Texas) | Primary |
| 208000000X | Pediatrics | H6890 (Texas) | Secondary |
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