Provider Demographics
NPI:1013189810
Name:LUIS E. LINAN, M.D.,P.A.
Entity Type:Organization
Organization Name:LUIS E. LINAN, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSEMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-593-2444
Mailing Address - Street 1:2400 TRAWOOD DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4122
Mailing Address - Country:US
Mailing Address - Phone:915-593-2444
Mailing Address - Fax:915-593-7140
Practice Address - Street 1:2400 TRAWOOD DR
Practice Address - Street 2:SUITE 304
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4122
Practice Address - Country:US
Practice Address - Phone:915-593-2444
Practice Address - Fax:915-593-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8214207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty