Individual
GUILLERMO LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1801 S 5TH ST STE 104, MCALLEN, TX 78503-2919
(956) 586-0333
(956) 586-0707
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 586-0333
(956) 586-0707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125940-04
—
TX
Enumeration date
08/14/2012
Last updated
07/21/2022
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