Healthcare Provider Details

I. General information

NPI: 1598990772
Provider Name (Legal Business Name): FRANCISCO G LOPEZ GODOY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BLALOCK RD STE M
HOUSTON TX
77080
US

IV. Provider business mailing address

1900 BLALOCK RD STE M
HOUSTON TX
77080-5446
US

V. Phone/Fax

Practice location:
  • Phone: 713-661-7888
  • Fax: 713-661-7899
Mailing address:
  • Phone: 832-831-4883
  • Fax: 346-319-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberFTL 42647
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberN4559
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN4559
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: