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NPI Code Detail

MEDICARE: TIFFANY LOPEZ NP

MEDICARE: TIFFANY LOPEZ NP
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
1363LP2300XPrimary Care Nurse PractitionerSP014321PA
2363LP2300XPrimary Care Nurse PractitionerAP141617TX

General Provider Information

NPI Number : 1972908499
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY LOPEZ NP
Provider Business Mailing Address
First Line : 2450 LOUISIANA ST
Second Line : STE 400 PMB 748
City : HOUSTON
State : TX
Zip : 77006-2380
Country : US
Telephone Number : 832-968-7175
Fax Number :
Provider Business Practice Location Address
First Line : 2323 POLK ST APT 307
Second Line :
City : HOUSTON
State : TX
Zip : 77003-4407
Country : US
Telephone Number : 832-968-7175
Fax Number : 713-583-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2014
Last Update Date : 08/03/2021

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Directions to “ TIFFANY LOPEZ NP” Practice Location

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