Organization Name: | JULIO A LOPEZ & ASSOCIATES |
NPI Number: | 1447300066 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIO A LOPEZ (MEDICAL DOCTOR) |
Mailing Address: | 101 South Broadway Elsa |
State: | TX US |
Postal Code: | 78543 |
Phone Number: | 9562621304 |
Fax Number: | 9562623929 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | E6964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |