Provider Demographics
NPI:1760375562
Name:LUNA, ROXANNE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E GUENTHER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-1134
Mailing Address - Country:US
Mailing Address - Phone:210-787-6361
Mailing Address - Fax:
Practice Address - Street 1:1700 KNOLL SCHWOPE RD
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6213
Practice Address - Country:US
Practice Address - Phone:210-787-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX854506363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health