MEDICARE: RAUL A LOZANO PA-C

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	363A00000X	Physician Assistant	PA02356	TX

General Provider Information

NPI Number	:	1871515221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL A LOZANO PA-C

Provider Business Mailing Address
First Line	:	9495 MARSH LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4946
Country	:	US
Telephone Number	:	214-351-0010
Fax Number	:	214-351-0375

Provider Business Practice Location Address
First Line	:	9495 MARSH LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4946
Country	:	US
Telephone Number	:	214-351-0010
Fax Number	:	214-351-0375

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	03/24/2017

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Directions to “ RAUL A LOZANO PA-C” Practice Location

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