Lopez, Manuel D

Lopez, Manuel D is an individual health care provider with primary practice located at 10201 Gateway Blvd W #210, El Paso TX 79925-7652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lopez, Manuel D can be contacted via phone (915) 591-2922.

Contact Information

Primary practice address
10201 Gateway Blvd W #210 El Paso TX 79925-7652
Fax: (915) 591-0495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X J8303 Texas

Profile Details

NPI number 1942265533
LBN Legal business name Lopez, Manuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jan 28th, 2009 - about 15 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 1942265533 NPPES
Texas MEDICAID 0314213-01
Texas MEDICAID 031421302

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