| American Internal Medicine Services,p.a., | |
|
122 N International Rd Ste B Garland TX 75042-6530 | |
| (972) 494-6713 | |
| (972) 494-5034 |
| Full Name | American Internal Medicine Services,p.a., |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 N International Rd, Garland, Texas |
| Authorized Official Name and Position | Cesar Augusto Gomez Lozano (OWNER) |
| Authorized Official Contact | 9724946713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Internal Medicine Services,p.a., 122 N International Rd Ste B Garland TX 75042-6530 Ph: (972) 494-6713 | American Internal Medicine Services,p.a., 122 N International Rd Ste B Garland TX 75042-6530 Ph: (972) 494-6713 |
| NPI Number | 1376736645 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 10/25/2010 |
| Medicare PECOS PAC ID | 5698960052 |
|---|---|
| Medicare Enrollment ID | O20101110001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376736645 | NPI | - | NPPES |
| 130915501 | Medicaid | TX | |
| 0030EB | Other | TX | BC/BS |
| CG9526 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J5332 (Texas) | Primary |
| Provider Name | Cesar Augusto Gomez Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632158 PECOS PAC ID: 5698730539 Enrollment ID: I20041119000923 |
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