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NPI Code Detail

MEDICARE: SERGIO J. LOPEZ NP-C, MSN,RNFA-CNOR

MEDICARE:   SERGIO J. LOPEZ  NP-C, MSN,RNFA-CNOR
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
1163W00000XRegistered Nurse654368TX
2163WR0006XRegistered Nurse First Assistant654368TX
3363LP2300XPrimary Care Nurse PractitionerAP124274TX

General Provider Information

NPI Number : 1376573907
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGIO J. LOPEZ NP-C, MSN,RNFA-CNOR
Provider Business Mailing Address
First Line : 7535 SUMMERDALE DR
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-4629
Country : US
Telephone Number : 956-451-2568
Fax Number : 956-387-0917
Provider Business Practice Location Address
First Line : 7535 SUMMERDALE DR
Second Line :
City : ROSENBERG
State : TX
Zip : 77469-4629
Country : US
Telephone Number : 956-451-2568
Fax Number : 956-387-0917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 10/30/2014

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