Provider Demographics
NPI:1811198682
Name:GALVESTON ACCIDENT & INJURY CLINIC
Entity Type:Organization
Organization Name:GALVESTON ACCIDENT & INJURY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:JULIO
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-621-2225
Mailing Address - Street 1:520 20TH ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-2014
Mailing Address - Country:US
Mailing Address - Phone:409-621-2225
Mailing Address - Fax:409-621-2844
Practice Address - Street 1:520 20TH ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-2014
Practice Address - Country:US
Practice Address - Phone:409-621-2225
Practice Address - Fax:409-621-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF007441111NN0400X, 111NN1001X, 111NR0400X, 111NS0005X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
Not Answered111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Not Answered111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty