| NPI | 1861681975 |
|---|---|
| Other Name | VICTOR IVAN LUGO-MIRO MD |
| Entity Type | Organization |
| Authorized Contact | VICTOR I LUGO MIRO CEO/Owner 281-360-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H6890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H6890) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2009-10-08 |