Provider Demographics
NPI:1417573239
Name:LOZANO MERCADO, ALMA ANGELICA (FNP-C)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:ANGELICA
Last Name:LOZANO MERCADO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 STONEY BYU
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4057
Mailing Address - Country:US
Mailing Address - Phone:210-416-2075
Mailing Address - Fax:
Practice Address - Street 1:1995 WILLIAMS ST UNIT C
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5034
Practice Address - Country:US
Practice Address - Phone:830-776-5348
Practice Address - Fax:830-776-5137
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX934722163W00000X
TX1088309363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse