Provider Demographics
NPI:1720156920
Name:LOZANO, PEDRO JULIO (DC, BSC)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JULIO
Last Name:LOZANO
Suffix:
Gender:M
Credentials:DC, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7917111NN0400X, 111NN1001X, 111NR0400X, 111NS0005X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurology
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational Health