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NPI 1962820506

NPI 1962820506 : ALWIN HEBER LOPEZ-TORO : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1962820506
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    Entity Type          |    Individual 
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    Provider Name        |    ALWIN HEBER LOPEZ-TORO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2014
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    1123 N MAIN AVE STE 120 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-4738
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    Country              |    US
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    Telephone            |    210-226-2001
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    Fax                  |    210-616-0705
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Provider Business Mailing Address
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    Address Line         |    16620 N US HIGHWAY 281 STE 300 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78232-2679
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    Country              |    US
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    Telephone            |    210-614-1231
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    Fax                  |    210-616-0704
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    BP10058787
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    R9247
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    License Number State |    TX
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