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NPI Code Detail

MEDICARE: LUIS ALFREDO UMANA M.D

MEDICARE: LUIS ALFREDO UMANA M.D
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
1207SG0201XClinical Genetics (M.D.) PhysicianN7888TX
2208000000XPediatrics PhysicianN7888TX
3207SG0207XMedical Biochemical GeneticsN7888TX

General Provider Information

NPI Number : 1710145362
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ALFREDO UMANA M.D
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 214-645-0624
Fax Number : 214-645-0078
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-456-9093
Fax Number : 214-456-2567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2008
Last Update Date : 04/22/2024

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