Individual
IVETTE C LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10425 GARLAND RD, DALLAS, TX 75218-2926
(214) 660-1616
(214) 660-1628
Mailing address
10425 GARLAND RD, DALLAS, TX 75218-2926
(214) 660-1616
(214) 660-1628
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
J4310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135757601
—
TX
Enumeration date
08/29/2006
Last updated
10/21/2015
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