Individual
VICTOR IVAN LUGO-MIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3036 NORTHPARK DRIVE, KINGWOOD, TX 77339
(281) 360-8501
(281) 360-8617
Mailing address
3036 NORTHPARK DRIVE, KINGWOOD, TX 77339
(281) 360-8501
(281) 360-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H6890
TX
208000000X
Pediatrics Physician
H6890
TX
208D00000X
General Practice Physician
Primary
H6890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080241501
—
TX
Enumeration date
08/29/2006
Last updated
10/07/2024
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