Individual
GABRIEL RIOS LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
910 E HOUSTON ST STE 550, TYLER, TX 75702-8366
(903) 245-4345
Mailing address
709 CR 4228, TROUP, TX 75789
(903) 245-4345
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
NB0155724
TX
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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