Healthcare Provider Details

I. General information

NPI: 1639266232
Provider Name (Legal Business Name): LUIS ENRIQUE LINAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 02/13/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9817 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

IV. Provider business mailing address

12081 PASEO DE AMOR LN
EL PASO TX
79936-4499
US

V. Phone/Fax

Practice location:
  • Phone: 737-289-7100
  • Fax: 737-289-7199
Mailing address:
  • Phone: 915-355-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberH8214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: