# ALFONSO H LUEVANO MD P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luevano Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033514542
- **Authorized official:** DR. ALFONSO H LUEVANO JR. MD (DIRECTOR)
- **Authorized official phone:** (830) 876-9458

## Contact information

- **Practice address:** 504 HOSPITAL DR STE B, CARRIZO SPRINGS, TX 78834-3835
- **Practice address phone:** (830) 876-9458
- **Practice address fax:** (830) 876-2411
- **Mailing address:** PO BOX 278, CARRIZO SPRINGS, TX 78834-6278
- **Mailing address phone:** (830) 876-9458
- **Mailing address fax:** (830) 876-2411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L7622 | TX | Yes |
| 363A00000X | Physician Assistant | PA04118 | TX | — |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 344750001 | — | TX |