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1053383810

NPI Code Detail

MEDICARE: MR. JOSE A LOPEZ MD

MEDICARE: MR. JOSE A LOPEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	L9786	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00263584	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8U5313	OTHER	TX	BLUE CROSS BLUE SHIELD
4	H08MM43001	OTHER	TX	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053383810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE A LOPEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 5958
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-5958
Country	:	US
Telephone Number	:	956-362-8677
Fax Number	:	956-362-7253

Provider Business Practice Location Address
First Line	:	5501 S MCCOLL RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-5503
Country	:	US
Telephone Number	:	956-362-8677
Fax Number	:	956-362-7253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	04/28/2023

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Directions to “ MR. JOSE A LOPEZ MD” Practice Location

Language	Start Address	Practice Location

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