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NPI Code Detail

MEDICARE: MR. DANNY LOPEZ CAMPOS APRN, MSN, FNP-C

MEDICARE: MR. DANNY LOPEZ CAMPOS APRN, MSN, FNP-C
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
1207Q00000XFamily Medicine PhysicianAP138966TX

General Provider Information

NPI Number : 1134698210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANNY LOPEZ CAMPOS APRN, MSN, FNP-C
Provider Business Mailing Address
First Line : 1016 EDISON DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-3011
Country : US
Telephone Number : 210-859-4647
Fax Number :
Provider Business Practice Location Address
First Line : 26229 N CRANES MILL RD
Second Line :
City : CANYON LAKE
State : TX
Zip : 78133-1957
Country : US
Telephone Number : 830-217-6411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2018
Last Update Date : 11/18/2018

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