Healthcare Provider Details

I. General information

NPI: 1538588892
Provider Name (Legal Business Name): JUAN FRANCISCO LOZANO M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 06/18/2022
Certification Date: 06/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W SAM HOUSTON BLVD STE 1
PHARR TX
78577-5215
US

IV. Provider business mailing address

900 W SAM HOUSTON BLVD STE 1
PHARR TX
78577-5215
US

V. Phone/Fax

Practice location:
  • Phone: 305-499-0138
  • Fax:
Mailing address:
  • Phone: 305-499-0138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberT1142
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: