Provider Demographics
NPI:1679598841
Name:LOZANO, ROBERT FLORES (P T M S O C S)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FLORES
Last Name:LOZANO
Suffix:
Gender:M
Credentials:P T M S O C S
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Mailing Address - Street 1:3875 E SOUTHCROSS BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3521
Mailing Address - Country:US
Mailing Address - Phone:210-337-7953
Mailing Address - Fax:210-337-7966
Practice Address - Street 1:3875 E SOUTHCROSS BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3521
Practice Address - Country:US
Practice Address - Phone:210-337-7953
Practice Address - Fax:210-337-7966
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2016-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1032720225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83870EMedicare ID - Type Unspecified