Individual
JOSE A LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HARBORSIDE DR, GALVESTON, TX 77555-0001
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G2424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116873402
—
TX
01
—
380000373
RR PTAN
TX
Enumeration date
12/08/2006
Last updated
08/13/2008
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