Lopez, Josie

Lopez, Josie is an individual health care provider with primary practice located at 409 Glenwood St Ste 500 , Glen Rose TX 76043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lopez, Josie can be contacted via phone (254) 897-2202.

Contact Information

Primary practice address
409 Glenwood St Ste 500 Glen Rose TX 76043
Phone: (254) 897-2202
Fax: (844) 659-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125056143 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7807 Texas

Profile Details

NPI number 1225264997
LBN Legal business name Lopez, Josie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Feb 7th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225264997 NPPES
Texas MEDICAID 386622001

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