Provider Demographics
NPI:1760782841
Name:LUNA, SULEMA AMADOR
Entity Type:Individual
Prefix:MRS
First Name:SULEMA
Middle Name:AMADOR
Last Name:LUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SULEMA
Other - Middle Name:AMADOR
Other - Last Name:LUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:5810 VALKEITH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4811
Mailing Address - Country:US
Mailing Address - Phone:832-741-6204
Mailing Address - Fax:
Practice Address - Street 1:5810 VALKEITH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4811
Practice Address - Country:US
Practice Address - Phone:832-741-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219038163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health