Provider Demographics
NPI:1184620247
Name:LOZANO, DIANA (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:LOZANO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:STE 203
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3222
Mailing Address - Country:US
Mailing Address - Phone:956-440-2800
Mailing Address - Fax:956-440-2817
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:STE 203
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3222
Practice Address - Country:US
Practice Address - Phone:956-440-2800
Practice Address - Fax:956-440-2817
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127487006Medicaid
TXK1534OtherSTATE LICENSE
TXF99873Medicare UPIN
TX127487006Medicaid