Lopez, Nidia
Lopez, Nidia is an individual health care provider with primary practice located at 1901 Grandview Ave , El Paso TX 79902-5113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lopez, Nidia can be contacted via phone (915) 544-6750.Contact Information
Primary practice address
1901 Grandview Ave
El Paso TX 79902-5113
Phone: (915) 544-6750
Fax: (915) 532-4259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04792 | Texas |
Profile Details
| NPI number | 1770549750 |
|---|---|
| LBN Legal business name | Lopez, Nidia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 12th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770549750 | NPPES |
| Texas | Other | 809N07 | BCBS |
| Texas | Other | P00889868 | BCBS |
| Texas | MEDICAID | 204427301 | BCBS |
| Texas | MEDICAID | 205265608 | BCBS |
| Texas | Other | 830N22 | BCBS |
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