Healthcare Provider Details

I. General information

NPI: 1053594994
Provider Name (Legal Business Name): MARIA G. LUNA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8042 WURZBACH RD SUITE 500
SAN ANTONIO TX
78229-3818
US

IV. Provider business mailing address

7142 SAN PEDRO AVE SUITE 120
SAN ANTONIO TX
78216-6254
US

V. Phone/Fax

Practice location:
  • Phone: 210-692-7228
  • Fax: 210-692-9671
Mailing address:
  • Phone: 210-661-5622
  • Fax: 210-798-6811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberM8144
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: