Individual
GREGORY A LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
112 W QUEEN ISABELLA STE C, PORT ISABEL, TX 78578-2970
(956) 524-0555
(956) 524-0405
Mailing address
112 W QUEEN ISABELLA STE C, PORT ISABEL, TX 78578-2970
(956) 524-0555
(956) 524-0405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184949976
—
TX
Enumeration date
04/05/2010
Last updated
08/14/2020
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