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NPI Code Detail

MEDICARE: DR. ALFREDO LOPEZ JR. MD

MEDICARE: DR. ALFREDO LOPEZ JR. MD
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
1174400000XSpecialistK5339TX
2207Q00000XFamily Medicine PhysicianK5339TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750307831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFREDO LOPEZ JR. MD
Provider Business Mailing Address
First Line : 2010 S CYNTHIA ST STE 110
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1387
Country : US
Telephone Number : 956-687-6963
Fax Number : 956-683-7185
Provider Business Practice Location Address
First Line : 2010 S CYNTHIA ST STE 110
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1387
Country : US
Telephone Number : 956-687-6963
Fax Number : 956-683-7185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 06/04/2025

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