| Lopez Family Practice | |
|
601 Labor St San Antonio TX 78210-1313 | |
| (210) 921-6088 | |
| (210) 921-6019 |
| Full Name | Lopez Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Labor St, San Antonio, Texas |
| Authorized Official Name and Position | Jesus Antonio Lopez (PRESIDENT/OWNER) |
| Authorized Official Contact | 2109216088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Family Practice 601 Labor St San Antonio TX 78210-1313 Ph: (210) 921-6088 | Lopez Family Practice 601 Labor St San Antonio TX 78210-1313 Ph: (210) 921-6088 |
| NPI Number | 1932398690 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398690 | NPI | - | NPPES |
| 00203Q | Other | BCBS OF TX | |
| 144083601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1649 (Texas) | Primary |
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