Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 7917 | TX |
N | 111NN1001X | Nutrition | 7917 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 7917 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 7917 | TX |
N | 111NX0100X | Occupational Health | 7917 | TX |
NPI | 1720156920 |
---|---|
Provider Name | Dr. Pedro Julio Lozano |
First Address | Galveston, TX 77550-2014 |
Second Address | Galveston, TX 77550-2014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |