Provider Demographics
NPI:1225289416
Name:LUIS MUZZA MD FACOG PA
Entity Type:Organization
Organization Name:LUIS MUZZA MD FACOG PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUZZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOG PA
Authorized Official - Phone:210-215-9002
Mailing Address - Street 1:3842 MORGANS CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1944
Mailing Address - Country:US
Mailing Address - Phone:210-215-9002
Mailing Address - Fax:
Practice Address - Street 1:3842 MORGANS CRK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1944
Practice Address - Country:US
Practice Address - Phone:210-215-9002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD 7208174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty