Individual
LANDY VANESSA LUNA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME144046
FL
207R00000X
Internal Medicine Physician
V1827
TX
207RP1001X
Pulmonary Disease Physician
Primary
V1827
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
07/10/2024
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