# LUNA MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952683526
- **Authorized official:** DR. JOHN M. HAEST M.D. (PRESIDENT)
- **Authorized official phone:** (512) 473-8900

## Contact information

- **Practice address:** 1700 S LAMAR BLVD, SUITE 240, AUSTIN, TX 78704-8962
- **Practice address phone:** (512) 473-8900
- **Practice address fax:** (512) 472-9898
- **Mailing address:** 1700 S LAMAR BLVD, SUITE 240, AUSTIN, TX 78704-8962
- **Mailing address phone:** (512) 473-8900
- **Mailing address fax:** (512) 472-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F9520 | TX | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 09/09/2011