Provider Demographics
NPI:1437576030
Name:A&H FAMILY CLINIC, LLC
Entity Type:Organization
Organization Name:A&H FAMILY CLINIC, LLC
Other - Org Name:A&H FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:LILIA
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:940-484-2000
Mailing Address - Street 1:519 S CARROLL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6025
Mailing Address - Country:US
Mailing Address - Phone:940-484-2000
Mailing Address - Fax:940-484-2001
Practice Address - Street 1:519 S CARROLL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6025
Practice Address - Country:US
Practice Address - Phone:940-484-2000
Practice Address - Fax:940-484-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX763723363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty