Provider Demographics
NPI:1770954968
Name:LUNA, JOSE ENRIQUE (LMT)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ENRIQUE
Last Name:LUNA
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Gender:M
Credentials:LMT
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Mailing Address - Street 1:7333 BARLITE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1320
Mailing Address - Country:US
Mailing Address - Phone:210-932-2256
Mailing Address - Fax:210-438-1188
Practice Address - Street 1:7333 BARLITE BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1320
Practice Address - Country:US
Practice Address - Phone:210-834-7943
Practice Address - Fax:210-438-1188
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXMT108043225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist