Lopez, Ismael
Lopez, Ismael is an individual health care provider with primary practice located at 2310 N. Ed Carey Drive Suite 1A, Harlingen TX 78550. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lopez, Ismael can be contacted via phone (956) 428-5522.Contact Information
Primary practice address
2310 N. Ed Carey Drive Suite 1A
Harlingen TX 78550
Phone: (956) 428-5522
Fax: (956) 421-2759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03788 | Texas |
Profile Details
| NPI number | 1235110495 |
|---|---|
| LBN Legal business name | Lopez, Ismael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Apr 13th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235110495 | NPPES |
| Texas | MEDICAID | 352905901 |
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