Loera, Jose A
Loera, Jose A is an individual health care provider with primary practice located at 400 Harborside Dr , Galveston TX 77555-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Loera, Jose A can be contacted via phone (409) 772-2222.Contact Information
Primary practice address
400 Harborside Dr
Galveston TX 77555-0001
Phone: (409) 772-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G2424 | Texas |
Profile Details
| NPI number | 1053470575 |
|---|---|
| LBN Legal business name | Loera, Jose A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Aug 13th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053470575 | NPPES |
| Texas | MEDICAID | 116873402 | |
| Texas | Other | 380000373 |
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