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Organization
LUNA MEDICAL CLINIC PLLC
Active
Organization
LUNA MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILA TREVINO (CREDENTIALING SPECIALIST)
(956) 524-0555
Entity
Organization
Contact information
Practice address
112 W QUEEN ISABELLA BLVD STE C, PORT ISABEL, TX 78578-2970
(956) 524-0555
(956) 524-0405
Mailing address
112 W QUEEN ISABELLA BLVD STE C, PORT ISABEL, TX 78578-2970
(956) 524-0555
(956) 524-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/09/2018
Last updated
07/20/2026
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