# MARCO A. LOPEZ, JR. M,D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134439383
- **Authorized official:** DR. MARCO A. LOPEZ JR. M.D. (OWNER)
- **Authorized official phone:** (210) 614-4963

## Contact information

- **Practice address:** 4499 MEDICAL DR STE 306, SAN ANTONIO, TX 78229-3851
- **Practice address phone:** (210) 614-4963
- **Practice address fax:** (210) 615-1758
- **Mailing address:** 4499 MEDICAL DR STE 306, SAN ANTONIO, TX 78229-3851
- **Mailing address phone:** (210) 614-4963
- **Mailing address fax:** (210) 615-1758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | E2045 | TX | Yes |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 10/20/2010