Healthcare Provider Details

I. General information

NPI: 1215414131
Provider Name (Legal Business Name): VERONICA SARAHY LOPEZ NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E LOUISIANA SUITE 201-AMP
MCKINNEY TX
75069
US

IV. Provider business mailing address

11847 VINEY PASS
SAN ANTONIO TX
78252-2018
US

V. Phone/Fax

Practice location:
  • Phone: 844-267-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1216985
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number920860
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: