Lo, Albert Charles

Lo, Albert Charles is an individual health care provider with primary practice located at 8441 State Highway 47 Ste 1400 , Bryan TX 77807-3208. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Lo, Albert Charles can be contacted via phone (979) 774-8200.

Contact Information

Primary practice address
8441 State Highway 47 Ste 1400 Bryan TX 77807-3208
Phone: (979) 774-8200
Fax: (877) 607-5854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36-090682 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X S7091 Texas

Profile Details

NPI number 1396730388
LBN Legal business name Lo, Albert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jan 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396730388 NPPES
Illinois Other 01032028 BCBS
Illinois Other 1D7195 BCBS
Illinois MEDICAID 412995901 BCBS

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