MEDICARE: ANDREA DE LUNA PA-C

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	363A00000X	Physician Assistant	PA17119	TX

General Provider Information

NPI Number	:	1932984622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA DE LUNA PA-C

Provider Business Mailing Address
First Line	:	3200 RED RIVER ST STE 206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-2661
Country	:	US
Telephone Number	:	512-256-0158
Fax Number	:	512-727-5970

Provider Business Practice Location Address
First Line	:	3200 RED RIVER ST STE 206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-2661
Country	:	US
Telephone Number	:	512-256-0158
Fax Number	:	512-256-0158

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

Provider Enumeration Date	:	08/30/2023
Last Update Date	:	02/02/2026

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Directions to “ ANDREA DE LUNA PA-C” Practice Location

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