Individual
DR. MA LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 S MAIN ST, BOERNE, TX 78006-3308
(210) 298-4900
(210) 298-6631
Mailing address
5522 LONE STAR PKWY STE 101, SAN ANTONIO, TX 78253-6719
(210) 298-4900
(210) 298-6631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD181028
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R6612
TX
Other
Enumeration date
04/23/2013
Last updated
09/29/2023
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