Doctor Name: | JULIO A LOPEZ |
NPI Number: | 1952367203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E6964 |
Business Practice Address: | 1311 E 6th St Weslaco, TX - 785966601 |
Business Phone Number: | 9569684584 |
Business Fax Number: | 9569687846 |
Mailing Address: | 1311 E 6th St, WESLACO |
State: | TX |
Postal Code: | 785966601 |
Phone Number: | 9569684584 |
Fax Number: | 9569687846 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E6964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |