Individual
LUIS FERNANDO ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10088331
TX
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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