| Luna Family Medical, Pllc | |
|
2605 W Mile 5 Rd Ste E5 Mission TX 78574-0981 | |
| (956) 600-8199 | |
| (956) 600-8301 |
| Full Name | Luna Family Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 W Mile 5 Rd Ste E5, Mission, Texas |
| Authorized Official Name and Position | Anayancy Driscoll Luna (OWNER) |
| Authorized Official Contact | 9562212218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Family Medical, Pllc Po Box 2601 Edinburg TX 78540-2601 Ph: (956) 600-8199 | Luna Family Medical, Pllc 2605 W Mile 5 Rd Ste E5 Mission TX 78574-0981 Ph: (956) 600-8199 |
| NPI Number | 1619544004 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 03/24/2022 |
| Medicare PECOS PAC ID | 4981095544 |
|---|---|
| Medicare Enrollment ID | O20211216000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619544004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anayancy Driscoll Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831591064 PECOS PAC ID: 9234404252 Enrollment ID: I20171002000995 |
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