Individual
MABEL LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-8677
Mailing address
1008 E DOVE AVE, MCALLEN, TX 78504-3976
(956) 667-6960
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10071710
TX
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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