Luna, Lydia A
Luna, Lydia A is an sole proprietor health care provider with primary practice located at 1307 8Th Ave #602, Fort Worth TX 76104-4143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Luna, Lydia A can be contacted via phone (817) 877-1848.Contact Information
Primary practice address
1307 8Th Ave #602
Fort Worth TX 76104-4143
Phone: (817) 877-1848
Fax: (817) 877-3716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G1465 | Texas |
Profile Details
| NPI number | 1043288590 |
|---|---|
| LBN Legal business name | Luna, Lydia A |
| Credentials | M.D., P. A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jun 26th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043288590 | NPPES |
| Texas | Other | G279 | BCBS |
| Texas | Other | 00G279 | BCBS |
| Texas | Other | 2937634 | BCBS |
| Texas | Other | 4133080 | BCBS |
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