Individual
NATHAN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE STE 500, FORT WORTH, TX 76104-2810
(817) 252-5000
(817) 252-5016
Mailing address
1300 W TERRELL AVE STE 500, FORT WORTH, TX 76104-2810
(817) 252-5000
(817) 252-5016
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
R8041
TX
207RI0011X
Interventional Cardiology Physician
Primary
R8041
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2011
Last updated
09/10/2018
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