Provider Demographics
NPI:1396706636
Name:LOZANO, ANNA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6836 BEE CAVES RD
Mailing Address - Street 2:BLDG. 3 STE. 150
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5059
Mailing Address - Country:US
Mailing Address - Phone:512-375-2555
Mailing Address - Fax:512-478-4366
Practice Address - Street 1:6836 BEE CAVES RD
Practice Address - Street 2:BLDG. 3 STE. 150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5059
Practice Address - Country:US
Practice Address - Phone:512-375-2555
Practice Address - Fax:512-478-4366
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF9756207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1375479-04Medicaid
TX1375479-04Medicaid