VICTOR LUGO MIRO MD PA (NPI# 1861681975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861681975 |
| Entity Type | Organization |
| Organization Name | VICTOR LUGO MIRO MD PA |
| Other Organization Name | VICTOR IVAN LUGO-MIRO MD |
| Practice Address |
3036 Northpark Dr Kingwood TX 77339-5114 |
| Practice Telephone | 2813608501 |
| Practice Fax Number | 2813608617 |
| Mailing Telephone | 2813608501 |
| Mailing Fax Number | 2813608617 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | DR. VICTOR I LUGO MIRO SR. (CEO/OWNER) |
| Authorized Official Telephone | 2813608501 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | H6890 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | H6890 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080241501 | 05 |
| Other Name | Type Code |
|---|---|
| Victor Ivan Lugo-Miro MD | Other Name - Individual/Organization |
| Street Address |
3036 NORTHPARK DR |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548770787 | Ashleigh Mangus | Nurse Practitioner | 3036 Northpark Dr, Kingwood, TX 77339-5114 | 2017-10-02 |
| 1689979957 | Christin Michelle Touchet | Nurse Practitioner | 3036 Northpark Dr, Kingwood, TX 77339-5114 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914590 | The Integrative Health Clinic LLC | Family Medicine | 2300 Green Oak Dr Ste 150, Kingwood, TX 77339-2038 | 2018-12-28 |
| 1114307279 | Rabia Shafiq | Family Medicine | 4533 Kingwood Dr Ste C2-500, Kingwood, TX 77345-2609 | 2015-06-04 |
| 1679987853 | Mohammad Ayaz Sadat | Family Medicine | 2601 River Slate Ct, Kingwood, TX 77345-1513 | 2014-06-17 |
| 1174936348 | Dtl Medical Management LLC | Family Medicine | 2820 S Cotswold Manor Dr, Kingwood, TX 77339 | 2014-06-05 |
| 1336582865 | Ojomah Angela Emono | Family Medicine | 19701 Kingwood Dr Ste B, Kingwood, TX 77339 | 2013-04-15 |
| 1427312297 | Yuhang Jia | Family Medicine | 2855 W Lake Houston Pkwy, Suite 101, Kingwood, TX 77339-5234 | 2012-06-27 |
| 1487971495 | Maimoona Qayyum Nizami | Family Medicine | 21844 Grand Lancelot Dr, Kingwood, TX 77339-7700 | 2010-04-29 |
| 1639308398 | Debra Jean Moses | Family Medicine | 451 Kingwood Medical Dr, Suite 200, Kingwood, TX 77339 | 2009-07-02 |
| 1588818306 | Jyothi N Achi, Md Pa | Family Medicine | 22999 Us Hwy 59n, Suite 232, Kingwood, TX 77339-4440 | 2008-11-06 |
| 1508031709 | Lehealth, LLC | Family Medicine | 2820 Cotswold Manor Dr S, Kingwood, TX 77339-1656 | 2008-04-28 |
| Find all providers in KINGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.