Provider Demographics
NPI:1225254410
Name:CESAR COSTA-LUNA, M.D., P.A. & ASSOCIATES
Entity Type:Organization
Organization Name:CESAR COSTA-LUNA, M.D., P.A. & ASSOCIATES
Other - Org Name:HARLINGEN KID'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:COSTA-LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-444-0844
Mailing Address - Street 1:1206 S. F STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-444-0844
Mailing Address - Fax:956-444-0845
Practice Address - Street 1:1206 S F ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6783
Practice Address - Country:US
Practice Address - Phone:956-444-0844
Practice Address - Fax:956-444-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C77276Medicare UPIN