Provider Demographics
NPI:1093539884
Name:ORTEGA LOZADA, ANDRES EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:EDUARDO
Last Name:ORTEGA LOZADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 RICK FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2841
Mailing Address - Country:US
Mailing Address - Phone:312-468-8265
Mailing Address - Fax:915-545-6975
Practice Address - Street 1:4845 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2705
Practice Address - Country:US
Practice Address - Phone:915-215-4992
Practice Address - Fax:915-545-6975
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10096024390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty