# LUZ DE LUNA MEDICAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MI LUZ DE LUNA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255631800
- **Authorized official:** OSCAR R QUEZADA JR. M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (915) 875-1200

## Contact information

- **Practice address:** 10657 VISTA DEL SOL DR STE E, EL PASO, TX 79935-4504
- **Practice address phone:** (915) 875-1200
- **Practice address fax:** (915) 629-7719
- **Mailing address:** 10657 VISTA DEL SOL DR STE E, EL PASO, TX 79935-4504
- **Mailing address phone:** (915) 875-1200
- **Mailing address fax:** (915) 629-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 06/13/2013