Individual
LUIS R. VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM PA
Contact information
Practice address
40 MARSELLA BLVD, BROWNSVILLE, TX 78521-3579
(956) 574-9733
(956) 574-9730
Mailing address
5493 RUSTIC MANOR, BROWNSVILLE, TX 78526-3920
(956) 574-9733
(956) 574-9730
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00457E
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
05
—
018590201
—
TX
01
—
480032167
MEDICARE RAILROAD
TX
01
—
7317044
AETNA
TX
01
—
7571063
CIGNA
TX
Enumeration date
09/28/2006
Last updated
03/07/2022
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