Jose A Loera
Geriatric Medicine
400 Harborside Dr
Galveston
, Texas 77555-0001
Jose A Loera
Geriatric Medicine
400 Harborside Dr
Galveston
, Texas 77555-0001
(409) 772-2222
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Jose A Loera
- 301 University Blvd
- Galveston, TX
- Zip : 77555-5302
- Phone : (409) 772-2222
Second Address
- Jose A Loera
- 400 Harborside Dr
- Galveston, TX
- Zip : 77555-0001
- Phone : (409) 772-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | G2424 | TX |
National Provider Identifier
| NPI | 1053470575 |
|---|---|
| Provider Name | Jose A Loera |
| First Address | Galveston, TX 77555-5302 |
| Second Address | Galveston, TX 77555-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 13/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 116873402 | (05) | TX |
| 380000373 | RR PTAN (01) | TX |
| F69964 | (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.