Lopez, Luis Alfonso

Lopez, Luis Alfonso is an sole proprietor health care provider with primary practice located at 20642 Stone Oak Parkway Ste 105, San Antonio TX 78258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lopez, Luis Alfonso can be contacted via phone (210) 650-0814.

Contact Information

Primary practice address
20642 Stone Oak Parkway Ste 105 San Antonio TX 78258
Phone: (210) 650-0814
Fax: (210) 650-0926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K1530 Texas

Profile Details

NPI number 1083600035
LBN Legal business name Lopez, Luis Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Aug 9th, 2018 - about 8 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 1083600035 NPPES
Texas MEDICAID 044322802
Texas MEDICAID 044322803

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