| NPI | 1255631800 |
|---|---|
| Doing Business As | MI LUZ DE LUNA |
| Entity Type | Organization |
| Authorized Contact | OSCAR R QUEZADA Owner/President 915-875-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2013-06-13 |