Lopez De La Cruz, Jose Orlean

Lopez De La Cruz, Jose Orlean is an sole proprietor health care provider with primary practice located at 3603 Southridge Dr Appartment 2031, Austin TX 78704-7739. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Lopez De La Cruz, Jose Orlean can be contacted via phone (786) 857-0656.

Contact Information

Primary practice address
3603 Southridge Dr Appartment 2031 Austin TX 78704-7739
Phone: (786) 857-0656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 16-245 Texas

Profile Details

NPI number 1700232345
LBN Legal business name Lopez De La Cruz, Jose Orlean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2016
Last updated May 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700232345 NPPES
Texas MEDICAID 711149917

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