Provider Demographics
NPI:1235963406
Name:LUNA INTEGRATIVE HEALTH & WELLNESS CENTER
Entity type:Organization
Organization Name:LUNA INTEGRATIVE HEALTH & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABU-SHAFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-902-0629
Mailing Address - Street 1:7501 FANNIN ST STE 702
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1938
Mailing Address - Country:US
Mailing Address - Phone:713-902-0629
Mailing Address - Fax:
Practice Address - Street 1:7501 FANNIN ST STE 702
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1938
Practice Address - Country:US
Practice Address - Phone:713-902-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center