Individual
PETER M LOTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 FANNIN ST STE 4000, WOMEN'S PELVIC RESTORATIVE CENTER PLLC, HOUSTON, TX 77054-2935
(713) 512-7600
(713) 512-7873
Mailing address
7900 FANNIN ST STE 4000, WOMEN'S PELVIC RESTORATIVE CENTER PLLC, HOUSTON, TX 77054-2935
(713) 512-7600
(713) 512-7873
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
K7806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540122-01
—
TX
01
—
8F8262
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
09/03/2015
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