Individual
BRENDA Y LUNA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
448 CASTROVILLE RD, SAN ANTONIO, TX 78207-5147
(210) 434-1400
(210) 431-7472
Mailing address
448 CASTROVILLE RD, SAN ANTONIO, TX 78207-5147
(210) 434-1400
(210) 431-7472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
638025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162492602
—
TX
01
—
267021YLPS
WELLMED MEDICAL GROUP PA
TX
01
—
8N8225
BCBS
TX
Enumeration date
07/20/2005
Last updated
01/28/2019
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