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Organization
VICTOR LUGO MIRO MD PA
Active
Organization
VICTOR LUGO MIRO MD PA
Active
Other names
Victor Ivan Lugo-Miro MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR I LUGO MIRO SR. M.D. (CEO/OWNER)
(281) 360-8501
Entity
Organization
Contact information
Practice address
3036 NORTHPARK DR, KINGWOOD, TX 77339-5114
(281) 360-8501
(281) 360-8617
Mailing address
3036 NORTHPARK DR, KINGWOOD, TX 77339-5114
(281) 360-8501
(281) 360-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H6890
TX
208000000X
Pediatrics Physician
H6890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080241501
—
TX
Enumeration date
10/15/2007
Last updated
10/08/2009
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