Lorenzo, Manuel

Lorenzo, Manuel is an individual health care provider with primary practice located at 221 W Colorado Blvd Pavilion Ii, Suite 425, Dallas TX 75208-2312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lorenzo, Manuel can be contacted via phone (214) 947-3231.

Contact Information

Primary practice address
221 W Colorado Blvd Pavilion Ii, Suite 425 Dallas TX 75208-2312
Fax: (214) 937-3239
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M6267 Texas

Profile Details

NPI number 1093713901
LBN Legal business name Lorenzo, Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 17th, 2015 - about 11 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 1093713901 NPPES
Texas Other 8BV502 BLUE CROSS AND BLUE SHIELD
Texas MEDICAID 186810102 BLUE CROSS AND BLUE SHIELD

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