Provider Demographics
NPI:1922295989
Name:PAUL A. LENZ MD PA
Entity Type:Organization
Organization Name:PAUL A. LENZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:LENZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-633-5369
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7553305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130473502Medicaid