| Carlos A Lozano Md Pa | |
|
525 Richmond San Antonio TX 78215-2008 | |
| (210) 227-7119 | |
| (210) 228-0264 |
| Full Name | Carlos A Lozano Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Richmond, San Antonio, Texas |
| Authorized Official Name and Position | Carlos A Lozano (PRESIDENT) |
| Authorized Official Contact | 2102277119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Lozano Md Pa 525 Richmond San Antonio TX 78215-2008 Ph: (210) 227-7119 | Carlos A Lozano Md Pa 525 Richmond San Antonio TX 78215-2008 Ph: (210) 227-7119 |
| NPI Number | 1790967362 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 10/11/2011 |
| Medicare PECOS PAC ID | 6103091293 |
|---|---|
| Medicare Enrollment ID | O20111220000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790967362 | NPI | - | NPPES |
| 034913601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E8679 (Texas) | Primary |
| Provider Name | Carlos Andres Lozano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699865238 PECOS PAC ID: 4183899271 Enrollment ID: I20111220000162 |
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