Individual
DR. AWILDA MICHELLE LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2665 SCRIPTURE STREET, DENTON, TX 76201
(940) 387-8763
(940) 535-5901
Mailing address
2665 SCRIPTURE STREET, DENTON, TX 76201
(940) 387-8763
(940) 535-5901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1891
TX
207RR0500X
Rheumatology Physician
Primary
M1891
TX
390200000X
Student in an Organized Health Care Education/Training Program
M1891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197184801
—
TX
Enumeration date
06/13/2007
Last updated
11/26/2019
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