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Individual

DR. SERGIO H LUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4408 AVENUE D, AUSTIN, TX 78751
(512) 524-1438
Mailing address
P.O.BOX 4934, AUSTIN, TX 78751-2911
(512) 524-1438
(512) 440-4059

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2O8888
NY
2084P0800X
Psychiatry Physician
J7058
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010494
VT
01
253553
VALUE OPTIONS
VT
01
356474
MHN
VT
01
59984
BCBS
VT
01
714676
MVP
VT
01
CIGNA
2189611
VT
01
P00249549
RAILROAD MEDICARE
VT
Enumeration date
02/23/2006
Last updated
08/31/2009
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