Individual
MATTHEW R LOHSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
293137
NY
207P00000X
Emergency Medicine Physician
Primary
S2101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293137
UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
03/30/2009
Last updated
10/02/2020
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