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Luis Angel Banuelos, DO, MPH

Student in an Organized Health Care Education/Training Program in Temple, TX. Individual provider (NPI-1).

NPI number1982309977
StatusActive
Last updated in NPPESMar 29, 2025

Details

NPI
1982309977
Entity type
Individual (NPI-1)
Name
Luis Angel Banuelos
Credential
DO, MPH
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2023
Certification date
Mar 29, 2025
Last updated
Mar 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2401 S 31st St # 1e316a
Temple, TX 76508-2981

Phone 254-724-7588

Mailing address

2401 S 31st St # 1e316a
Temple, TX 76508-0001

Phone 254-724-7588

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