Provider Demographics
NPI:1881654390
Name:WILMER LOJA MD AND ASSOCIATES PA
Entity Type:Organization
Organization Name:WILMER LOJA MD AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:WILMER
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-994-8182
Mailing Address - Street 1:PO BOX 2918
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-2918
Mailing Address - Country:US
Mailing Address - Phone:956-423-3335
Mailing Address - Fax:956-423-0138
Practice Address - Street 1:1200 E SAVANNAH AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-994-8182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious DiseasesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147995803Medicaid
TX147995801Medicaid
TX00W248Medicare ID - Type Unspecified
TX00W248Medicare Oscar/Certification