Basic Information
Provider Information
NPI: 1003007469
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OZUNA
FirstName: EDUARDO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 126 SCHOONER DR
Address2:  
City: LAKEWAY
State: TX
PostalCode: 787381003
CountryCode: US
TelephoneNumber: 2542459177
FaxNumber: 2542459178
Practice Location
Address1: 55 GRUENE PARK DR
Address2:  
City: NEW BRAUNFELS
State: TX
PostalCode: 781302459
CountryCode: US
TelephoneNumber: 8303798800
FaxNumber: 8303721600
Other Information
ProviderEnumerationDate: 08/09/2007
LastUpdateDate: 08/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XN5308TXN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900XN5308TXY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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