Provider Demographics
NPI:1417903956
Name:LUNA-GONZALES, HORTENCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HORTENCIA
Middle Name:
Last Name:LUNA-GONZALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HORTENCIA
Other - Middle Name:
Other - Last Name:LUNA-SOLORZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2320 S SHEPHERD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-7014
Mailing Address - Country:US
Mailing Address - Phone:832-978-6353
Mailing Address - Fax:
Practice Address - Street 1:2320 S SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-7014
Practice Address - Country:US
Practice Address - Phone:832-978-6353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2011-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5319207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145914102Medicaid
TX8F5722OtherBCBSTX
TX138768023Medicaid
TX138768023Medicaid
A88248Medicare UPIN
TX8C7767Medicare ID - Type Unspecified
TX8K8203Medicare PIN
TX8243B7Medicare PIN