MEDICARE: ROBERT A. LOZANO 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	2084N0400X	Neurology Physician	G8546	TX

General Provider Information

NPI Number	:	1851448807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A. LOZANO M.D.

Provider Business Mailing Address
First Line	:	3909 AVENUE G
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-4705
Country	:	US
Telephone Number	:	956-455-5319
Fax Number	:	956-291-9392

Provider Business Practice Location Address
First Line	:	3909 AVENUE G
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751
Country	:	US
Telephone Number	:	956-455-5319
Fax Number	:

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/19/2018

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