MEDICARE: JORGE LUENGAS MD

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	207Q00000X	Family Medicine Physician	K2358	TX

General Provider Information

NPI Number	:	1407878879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE LUENGAS MD

Provider Business Mailing Address
First Line	:	925 GESSNER RD STE 480
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2548
Country	:	US
Telephone Number	:	713-338-7226
Fax Number	:	713-338-6027

Provider Business Practice Location Address
First Line	:	1801 NORTH LOOP W STE 30
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1445
Country	:	US
Telephone Number	:	713-802-9781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	09/18/2024

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