Provider Demographics
NPI:1942434907
Name:JORGE F LOZANO MD PA
Entity Type:Organization
Organization Name:JORGE F LOZANO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-968-1617
Mailing Address - Street 1:902 S AIRPORT DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6649
Mailing Address - Country:US
Mailing Address - Phone:956-968-1617
Mailing Address - Fax:956-968-3905
Practice Address - Street 1:902 S AIRPORT DR STE 3
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6649
Practice Address - Country:US
Practice Address - Phone:956-968-1617
Practice Address - Fax:956-968-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty