| Thelma Lopez-lira, Mdpa | |
|
4525 S Staples St Corpus Christi TX 78411-2603 | |
| (361) 980-1201 | |
| (361) 980-1401 |
| Full Name | Thelma Lopez-lira, Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4525 S Staples St, Corpus Christi, Texas |
| Authorized Official Name and Position | Thelma Lopez-lira (OWNER) |
| Authorized Official Contact | 3619801201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thelma Lopez-lira, Mdpa Po Box 271402 Corpus Christi TX 78427-1402 Ph: (361) 980-1201 | Thelma Lopez-lira, Mdpa 4525 S Staples St Corpus Christi TX 78411-2603 Ph: (361) 980-1201 |
| NPI Number | 1831490705 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 5799966040 |
|---|---|
| Medicare Enrollment ID | O20110221000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831490705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K0115 (Texas) | Primary |
| Provider Name | Thelma Lopez-lira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437125036 PECOS PAC ID: 4688799984 Enrollment ID: I20100909000984 |
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