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NPI Code Detail

MEDICARE: EDWARD LOERA

MEDICARE: EDWARD LOERA
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
1363LF0000XFamily Nurse Practitioner1230411TX

General Provider Information

NPI Number : 1649110073
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD LOERA
Provider Business Mailing Address
First Line : 14385 JONATHAN K MOLINA CT
Second Line :
City : EL PASO
State : TX
Zip : 79938-7502
Country : US
Telephone Number : 915-246-4619
Fax Number :
Provider Business Practice Location Address
First Line : 14385 JONATHAN K MOLINA CT
Second Line :
City : EL PASO
State : TX
Zip : 79938-7502
Country : US
Telephone Number : 915-246-4619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2026
Last Update Date : 03/28/2026

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Directions to “ EDWARD LOERA ” Practice Location

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