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Individual

PEGUY LUMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNIM , CSFA

Contact information

Practice address
1206 NEWSOME GLENN DR, HOUSTON, TX 77090
(832) 266-4013
Mailing address
1206 NEWSOME GLENN DR, HOUSTON, TX 77090-7118
(832) 266-4013
(832) 202-0525

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
184161
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184161
CSFA
TX
01
2895
CNIM
Enumeration date
10/09/2014
Last updated
08/16/2022
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