MEDICARE: LUIS MUZZA MD FACOG PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D 7208	TX
2	207V00000X	Obstetrics & Gynecology Physician	D 7208	TX

General Provider Information

NPI Number	:	1225289416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUIS MUZZA MD FACOG PA

Provider Business Mailing Address
First Line	:	3842 MORGANS CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1944
Country	:	US
Telephone Number	:	210-215-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3842 MORGANS CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1944
Country	:	US
Telephone Number	:	210-215-9002
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS MUZZA
Credential	:	MD FACOG PA
Telephone Number	:	210-215-9002

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	10/06/2008

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