Provider Demographics
NPI:1669446175
Name:LENZ, PAUL ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ALBERT
Last Name:LENZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 W PRICE RD STE 7-406
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8687
Mailing Address - Country:US
Mailing Address - Phone:956-633-5369
Mailing Address - Fax:877-748-7128
Practice Address - Street 1:625 E PRICE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4215
Practice Address - Country:US
Practice Address - Phone:956-633-5369
Practice Address - Fax:877-748-7128
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7553207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130473502Medicaid
TX8189J0Medicare ID - Type Unspecified
TXF92706Medicare UPIN