Individual
DR. ALFONSO LUEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 S 5TH ST, CARRIZO SPRINGS, TX 78834-3802
(830) 876-9458
(830) 876-2411
Mailing address
PO BOX 278, CARRIZO SPRINGS, TX 78834-6278
(830) 876-9458
(830) 876-2411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060MT
BLUE CROSS BLUE SHIELD
TX
05
—
167639702
—
TX
Enumeration date
07/08/2006
Last updated
08/16/2010
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