Dr. Pedro Juan Loredo III
Surgeon Emergency Physician Surgery of the Hand Orthopaedic Hand Surgeon and 1 more
220 N Park Blvd Ste 100
Grapevine
, Texas 76051-6900
Dr. Pedro Juan Loredo III
Surgeon Emergency Physician Surgery of the Hand Orthopaedic Hand Surgeon and 1 more
220 N Park Blvd Ste 100
Grapevine
, Texas 76051-6900
(817) 280-9870
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About
Features
Specialties
- Emergency Physician
- Orthopaedic Hand Surgeon
- Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Pedro Juan Loredo III
- 220 N Park Blvd Ste 100
- Grapevine, TX
- Zip : 76051-6900
- Fax : (817) 280-9870
- Phone : (972) 939-4974
Second Address
- Dr. Pedro Juan Loredo III
- 220 N Park Blvd Ste 100
- Grapevine, TX
- Zip : 76051-6900
- Fax : (817) 280-9870
- Phone : (972) 939-4974
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Is Dr. Pedro Juan Loredo III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 40806 | KY |
| N | 207XS0106X | Orthopaedic Hand Surgeon | N0228 | TX |
| N | 208200000X | Surgeon | 4301080172 | MI |
| N | 208600000X | Surgeon | 4301080172 | MI |
| N | 2086S0105X | Surgery of the Hand | 40806 | KY |
| Y | 2086S0105X | Surgery of the Hand | N0228 | TX |
National Provider Identifier
| NPI | 1417175209 |
|---|---|
| Provider Name | Dr. Pedro Juan Loredo III |
| First Address | Grapevine, TX 76051-6900 |
| Second Address | Grapevine, TX 76051-6900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 11/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 378258 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.