MEDICARE: THALIA LOPEZ PACHECO

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	363LF0000X	Family Nurse Practitioner	1207858	TX

General Provider Information

NPI Number	:	1548126147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THALIA LOPEZ PACHECO

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-1614
Country	:	US
Telephone Number	:	956-362-8125
Fax Number	:	956-362-8135

Provider Business Practice Location Address
First Line	:	1100 E DOVE AVE STE 402
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4684
Country	:	US
Telephone Number	:	956-362-8125
Fax Number	:	956-362-8135

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	01/29/2026

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Directions to “ THALIA LOPEZ PACHECO ” Practice Location

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