Lopez, Eric J

Lopez, Eric J is an sole proprietor health care provider with primary practice located at 605 S Conroe Medical Dr Ste 100, Conroe TX 77304-4722. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Lopez, Eric J can be contacted via phone (936) 523-5236.

Contact Information

Primary practice address
605 S Conroe Medical Dr Ste 100 Conroe TX 77304-4722
Phone: (936) 523-5236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA735 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05322 Texas

Profile Details

NPI number 1750373213
LBN Legal business name Lopez, Eric J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated May 28th, 2013 - about 13 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 1750373213 NPPES
Nevada MEDICAID 100505898

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