Provider Demographics
NPI:1164669586
Name:ROBERT A. LOZANO, M.D., PH.D., P.A.
Entity Type:Organization
Organization Name:ROBERT A. LOZANO, M.D., PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-698-5777
Mailing Address - Street 1:1040 W. JEFFERSON
Mailing Address - Street 2:VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6338
Mailing Address - Country:US
Mailing Address - Phone:956-698-5777
Mailing Address - Fax:
Practice Address - Street 1:1040 W. JEFFERSON
Practice Address - Street 2:VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6338
Practice Address - Country:US
Practice Address - Phone:956-698-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG85462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143065401Medicaid
TXB24497Medicare UPIN