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NPI Code Detail

MEDICARE: DOUGLAS LOPEZ

MEDICARE: DOUGLAS LOPEZ
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
1106S00000XBehavior TechnicianRBT-20-148206TX

General Provider Information

NPI Number : 1427726843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS LOPEZ
Provider Business Mailing Address
First Line : 3827 QUIET PLACE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-1222
Country : US
Telephone Number : 832-526-9279
Fax Number :
Provider Business Practice Location Address
First Line : 4638 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6157
Country : US
Telephone Number : 281-969-7527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 04/16/2026

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Directions to “ DOUGLAS LOPEZ ” Practice Location

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