Provider Demographics
NPI:1215735261
Name:CERVANTES, LUISA MARIE
Entity type:Individual
Prefix:MS
First Name:LUISA
Middle Name:MARIE
Last Name:CERVANTES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4201
Mailing Address - Country:US
Mailing Address - Phone:214-739-2225
Mailing Address - Fax:214-739-2228
Practice Address - Street 1:6711 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4201
Practice Address - Country:US
Practice Address - Phone:214-739-2225
Practice Address - Fax:214-739-2228
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8F21721111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty