| Jose M Lopez, D.m.d., Pa | |
|
1717 N. Brown Street Suite 1b El Paso TX 79902-4730 | |
| (915) 544-1600 | |
| (915) 544-1610 |
| Full Name | Jose M Lopez, D.m.d., Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1717 N. Brown Street, El Paso, Texas |
| Authorized Official Name and Position | Jose M. Lopez (OWNER/DENTIST) |
| Authorized Official Contact | 9155441600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Lopez, D.m.d., Pa 1717 N. Brown Street Suite 1b El Paso TX 79902-4730 Ph: (915) 544-1600 | Jose M Lopez, D.m.d., Pa 1717 N. Brown Street Suite 1b El Paso TX 79902-4730 Ph: (915) 544-1600 |
| NPI Number | 1073814257 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073814257 | NPI | - | NPPES |
| 090635603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17432 (Texas) | Primary |
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