Provider Demographics
NPI:1295267243
Name:GONZALES-LUNA, DANIEL CARLOS
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CARLOS
Last Name:GONZALES-LUNA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23910 KATY FWY STE 201
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1477
Mailing Address - Country:US
Mailing Address - Phone:713-486-9800
Mailing Address - Fax:281-392-3666
Practice Address - Street 1:23910 KATY FWY STE 201
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1477
Practice Address - Country:US
Practice Address - Phone:713-486-9800
Practice Address - Fax:281-392-3666
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21844207X00000X, 207XX0801X
390200000X
TXU5410207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program