Lopez, Nidia

Lopez, Nidia is an individual health care provider with primary practice located at 1901 Grandview Ave , El Paso TX 79902-5113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lopez, Nidia can be contacted via phone (915) 544-6750.

Contact Information

Primary practice address
1901 Grandview Ave El Paso TX 79902-5113
Phone: (915) 544-6750
Fax: (915) 532-4259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04792 Texas

Profile Details

NPI number 1770549750
LBN Legal business name Lopez, Nidia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 12th, 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 1770549750 NPPES
Texas Other 809N07 BCBS
Texas Other P00889868 BCBS
Texas MEDICAID 204427301 BCBS
Texas MEDICAID 205265608 BCBS
Texas Other 830N22 BCBS

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