MEDICARE: DR. JOSEPH 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	J2167	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J2167	OTHER	TX	TX LICENSE NUMBER
2	87040B	OTHER	TX	BCBS OF TEXAS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629074737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH A LOPEZ MD

Provider Business Mailing Address
First Line	:	1045 CENTRAL PARKWAY NORTH
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5024
Country	:	US
Telephone Number	:	210-541-4500
Fax Number	:	210-541-4508

Provider Business Practice Location Address
First Line	:	5000 BAPTIST HEALTH DR
Second Line	:	SUITE 102
City	:	SCHERTZ
State	:	TX
Zip	:	78154-1193
Country	:	US
Telephone Number	:	210-566-2656
Fax Number	:	210-566-2690

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	05/19/2011

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Directions to “ DR. JOSEPH A LOPEZ MD” Practice Location

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