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Organization
ALFONSO H LUEVANO MD P A
Active
Organization
ALFONSO H LUEVANO MD P A
Active
Other names
Luevano Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO H LUEVANO JR. MD (DIRECTOR)
(830) 876-9458
Entity
Organization
Contact information
Practice address
504 HOSPITAL DR STE B, CARRIZO SPRINGS, TX 78834-3835
(830) 876-9458
(830) 876-2411
Mailing address
PO BOX 278, CARRIZO SPRINGS, TX 78834-6278
(830) 876-9458
(830) 876-2411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7622
TX
363A00000X
Physician Assistant
PA04118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344750001
—
TX
Enumeration date
10/27/2014
Last updated
10/01/2018
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