Retamozo, Luis A
Retamozo, Luis A is an individual health care provider with primary practice located at 11797 South Fwy Ste 234 , Burleson TX 76028-7035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Retamozo, Luis A can be contacted via phone (817) 293-2944.Contact Information
Primary practice address
11797 South Fwy Ste 234
Burleson TX 76028-7035
Phone: (817) 293-2944
Fax: (817) 293-2039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J6689 | Texas |
Profile Details
| NPI number | 1073574422 |
|---|---|
| LBN Legal business name | Retamozo, Luis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 30th, 2023 - about last year |
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 | 1073574422 | NPPES |
| Texas | Other | 8J9051 | BCBS |
| Texas | Other | P00274097 | BCBS |
| Texas | MEDICAID | 1073574422 | BCBS |
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