MEDICARE: DR. MARIA A. LOZA D.M.D. , M.S.

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	1223P0700X	Prosthodontics	34719	TX
2	1223P0700X	Prosthodontics	D-02156	PR
3	1223P0700X	Prosthodontics	36987	TX

General Provider Information

NPI Number	:	1538166293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA A. LOZA D.M.D. , M.S.

Provider Business Mailing Address
First Line	:	7500 CAMBRIDGE ST STE 5444
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2032
Country	:	US
Telephone Number	:	713-486-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 CAMBRIDGE ST STE 5444
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2032
Country	:	US
Telephone Number	:	713-486-4274
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/06/2021

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