Provider Demographics
NPI:1114596806
Name:SEGOVIA, FRANCIS LUNA (APRN)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:LUNA
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2821 MCKINNEY AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8555
Mailing Address - Country:US
Mailing Address - Phone:617-379-0496
Mailing Address - Fax:617-379-0434
Practice Address - Street 1:2821 MCKINNEY AVE STE 9
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8555
Practice Address - Country:US
Practice Address - Phone:617-379-0496
Practice Address - Fax:617-379-0434
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX801739163WP0808X
WI11434-33363LP0808X
TX1051685363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health