| Humberto Lopez Md Pa | |
|
10 Medical Pkwy Plaza 3 Suite 208 Farmers Branch TX 75234-7845 | |
| (972) 243-9607 | |
| Not Available |
| Full Name | Humberto Lopez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Medical Pkwy, Farmers Branch, Texas |
| Authorized Official Name and Position | Humberto Lopez (OWNER) |
| Authorized Official Contact | 9722439607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humberto Lopez Md Pa 10 Medical Pkwy Plaza 3 Suite 208 Farmers Branch TX 75234-7845 Ph: () - | Humberto Lopez Md Pa 10 Medical Pkwy Plaza 3 Suite 208 Farmers Branch TX 75234-7845 Ph: (972) 243-9607 |
| NPI Number | 1457513301 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 5092080580 |
|---|---|
| Medicare Enrollment ID | O20171010000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457513301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3790 (Texas) | Primary |
| Provider Name | Humberto Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598845885 PECOS PAC ID: 6507865813 Enrollment ID: I20061214000461 |
| Provider Name | Humberto Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588924369 PECOS PAC ID: 5799901575 Enrollment ID: I20151118001801 |
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