Individual
LUIS SERVANO TEOXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
22969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1212085
AANP CERTIFICATION
TX
Enumeration date
12/26/2013
Last updated
12/26/2013
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