Individual
MR. JARDIEL FERDINAND LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 772-6397
Mailing address
4719 COLE AVE APT 201, URB. SAN JOSE, DALLAS, TX 75205-3561
(214) 772-6397
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
739539
TX
Other
Enumeration date
08/15/2007
Last updated
05/14/2008
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