Provider Demographics
NPI:1952055360
Name:LUNA, EDUARDO A (BS)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:A
Last Name:LUNA
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26313 HALPIN RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6306
Mailing Address - Country:US
Mailing Address - Phone:956-498-7345
Mailing Address - Fax:
Practice Address - Street 1:26313 HALPIN RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-6306
Practice Address - Country:US
Practice Address - Phone:956-498-7345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-05
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer