Organization
AMERICAN INTERNAL MEDICINE SERVICES,P.A.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR AUGUSTO GOMEZ LOZANO M.D. (OWNER)
(972) 494-6713
Entity
Organization
Contact information
Practice address
122 N INTERNATIONAL RD, STE B, GARLAND, TX 75042-6530
(972) 494-6713
(972) 494-5034
Mailing address
122 N INTERNATIONAL RD, STE B, GARLAND, TX 75042-6530
(972) 494-6713
(972) 494-5034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J5332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030EB
BC/BS
TX
05
—
130915501
—
TX
01
—
CG9526
RAILROAD MEDICARE
TX
Enumeration date
08/21/2007
Last updated
10/25/2010
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