Candelario Lopez, DC | |
14210 Highway 3, Ste 3, Webster, TX 77598-1605 | |
(832) 240-4319 | |
Not Available |
Full Name | Candelario Lopez |
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Gender | Male |
Speciality | Chiropractor |
Location | 14210 Highway 3, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720701584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15293 (Texas) | Primary |
Provider Name | 509 Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093227977 PECOS PAC ID: 1557628567 Enrollment ID: O20171129002974 |
Mailing Address | Practice Location Address |
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Candelario Lopez, DC 14210 Highway 3 Ste B, Webster, TX 77598-1603 Ph: (832) 240-4319 | Candelario Lopez, DC 14210 Highway 3, Ste 3, Webster, TX 77598-1605 Ph: (832) 240-4319 |
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