Individual
LUIS LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
7719 S IH 35 STE 212, SAN ANTONIO, TX 78224-1134
(830) 320-4955
Mailing address
7719 S IH 35 STE 212, SAN ANTONIO, TX 78224-1134
(830) 320-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1044866
TX
363L00000X
Nurse Practitioner
Primary
1044866
TX
363LF0000X
Family Nurse Practitioner
1044866
TX
Other
Enumeration date
08/03/2021
Last updated
09/03/2021
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