Provider Demographics
NPI:1396705802
Name:LOJA, WILMER E (MD)
Entity type:Individual
Prefix:
First Name:WILMER
Middle Name:E
Last Name:LOJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2918
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-2918
Mailing Address - Country:US
Mailing Address - Phone:956-423-3335
Mailing Address - Fax:956-423-0138
Practice Address - Street 1:800 E DOVE AVE STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2263
Practice Address - Country:US
Practice Address - Phone:956-630-1225
Practice Address - Fax:855-335-1068
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ91712080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131255513Medicaid
TXC22766Medicare UPIN
TX131255513Medicaid