| Alfredo Lopez Jr Md Pa | |
|
2010 S Cynthia St Ste 110 Mcallen TX 78503-1387 | |
| (956) 687-6963 | |
| (956) 683-7185 |
| Full Name | Alfredo Lopez Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2010 S Cynthia St Ste 110, Mcallen, Texas |
| Authorized Official Name and Position | Alfredo Lopez (PRESIDENT) |
| Authorized Official Contact | 9566876963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo Lopez Jr Md Pa 2010 S Cynthia St Ste 110 Mcallen TX 78503-1387 Ph: (956) 687-6963 | Alfredo Lopez Jr Md Pa 2010 S Cynthia St Ste 110 Mcallen TX 78503-1387 Ph: (956) 687-6963 |
| NPI Number | 1588732127 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 12/29/2010 |
| Medicare PECOS PAC ID | 6204891948 |
|---|---|
| Medicare Enrollment ID | O20041122001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588732127 | NPI | - | NPPES |
| 0031MA | Other | TX | BCBS |
| 171585601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5339 (Texas) | Primary |
| Provider Name | Alfredo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750307831 PECOS PAC ID: 5294790937 Enrollment ID: I20041123000097 |
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