Mancera, Luciano
Mancera, Luciano is an sole proprietor health care provider with primary practice located at 2315 W Ben White Blvd , Austin TX 78704-7524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mancera, Luciano can be contacted via phone (512) 326-5440.Contact Information
Primary practice address
2315 W Ben White Blvd
Austin TX 78704-7524
Phone: (512) 326-5440
Fax: (512) 326-8660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 321255 | Louisiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | S5696 | Texas |
Profile Details
NPI number | 1417481326 |
---|---|
LBN Legal business name | Mancera, Luciano |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 18th, 2017 |
Last updated | Dec 12th, 2023 - about 2 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.
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