Provider Demographics
NPI:1740274679
Name:LOZANO, PAUL S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:LOZANO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 DATAPOINT DR
Mailing Address - Street 2:SUITE 19
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3257
Mailing Address - Country:US
Mailing Address - Phone:210-558-3387
Mailing Address - Fax:210-271-3260
Practice Address - Street 1:8611 DATAPOINT DR
Practice Address - Street 2:SUITE 19
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3257
Practice Address - Country:US
Practice Address - Phone:210-558-3387
Practice Address - Fax:210-271-3260
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist