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1235340985 NPI number — MARIO A. LOPEZ PTA

NPI Number: 1235340985
Health Care Provider/Practitioner: MARIO A. LOPEZ PTA

Information about “1235340985” NPI (MARIO A. LOPEZ PTA) exists in 1235340985 in HTML format HTML  |  1235340985 in plain Text format TXT  |  1235340985 in PDF (Portable Document Format) PDF  |  1235340985 in an XML format XML  formats.

NPI Number : 1235340985 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235340985",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPEZ",
    "FirstName": "MARIO",
    "MiddleName": "A.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "902 S LOOP 499 APT U2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARLINGEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78550-2503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-534-4530",
    "MailingAddressFaxNumber": "210-534-4537",
    "FirstLinePracticeLocationAddress": "15600 SAN PEDRO AVE",
    "SecondLinePracticeLocationAddress": "SUITE 307",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78232-3740",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-437-7560",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "2046969",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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