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General NPI Number Information
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NPI Number | 1942096631
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Entity Type | Individual
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Provider Name | ERVIN LOPEZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 18500 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77094-1110
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Country | US
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Telephone | 832-522-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 803 STARCROSS BEND DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 67005
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License Number State | TX
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