Ivette C. Lozano Dba Lozano Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J4310 Issued in TX

Legal business name

IVETTE C. LOZANO DBA LOZANO MEDICAL CLINIC

Practice address

10425 Garland Rd
Dallas, TX 75218-2926

Phone

(214) 660-1616

Fax

(214) 660-1628

NPI assigned

Nov 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ivette Concepcion Lozano, MD

Title

Owner

Phone

(214) 660-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lozano Medical Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1639351828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182926",
            "telephone_number": "214-660-1616",
            "fax_number": "214-660-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182926",
            "telephone_number": "214-660-1616",
            "fax_number": "214-660-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVETTE C. LOZANO DBA LOZANO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "CONCEPCION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-660-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J4310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135757601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lozano Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ivan Vrcek MD PA
• Robert Mark Ivancic, LPC
• George Ivanovskis, M.D.
• Allison Ivers, MS-CF SLP
• Austin Ivery
• Andrea Kay Ivey, PT, DPT
• Preston Ivey
• Ivf Institute, P.a.
• Elena Ivanovna Ivleva, M.D., PH.D.
• Ivory Homehealth Agency Inc

• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.