MEDICARE: PABLO ANDRES LOZADA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M5338	TX
2	208M00000X	Hospitalist Physician	M5338	TX

General Provider Information

NPI Number	:	1285735787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PABLO ANDRES LOZADA M.D.

Provider Business Mailing Address
First Line	:	4360 GRECO DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-2725
Country	:	US
Telephone Number	:	210-648-4678
Fax Number	:	210-648-4683

Provider Business Practice Location Address
First Line	:	4360 GRECO DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-2725
Country	:	US
Telephone Number	:	210-648-4678
Fax Number	:	210-648-4683

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	12/29/2009

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