Organization Name: | ALFONSO H LUEVANO MD P A |
NPI Number: | 1598903353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFONSO H LUEVANO (MEDICAL DIRECTOR) |
Mailing Address: | 302 S 5th St Carrizo Springs |
State: | TX US |
Postal Code: | 788343802 |
Phone Number: | 8308769458 |
Fax Number: | 8308762411 |
NPI Enumeration Date: | 01/31/2009 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | L7622 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |