Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N5065 | TX |
NPI | 1013181916 |
---|---|
Provider Name | Annabelle Lozano Garcia |
First Address | San Antonio, TX 78258-4287 |
Second Address | San Antonio, TX 78258-4287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 12/01/2018 |