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NPI Code Detail

MEDICARE: JULIE LOPEZ

MEDICARE:   JULIE  LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor88266TX

General Provider Information

NPI Number : 1215869821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE LOPEZ
Provider Business Mailing Address
First Line : 3019 AVENUE M EXT
Second Line :
City : CONROE
State : TX
Zip : 77301-5829
Country : US
Telephone Number : 936-228-9115
Fax Number :
Provider Business Practice Location Address
First Line : 3019 AVENUE M EXT
Second Line :
City : CONROE
State : TX
Zip : 77301-5829
Country : US
Telephone Number : 936-228-9115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2026
Last Update Date : 05/30/2026

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Directions to “ JULIE LOPEZ ” Practice Location

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