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Organization
ROBERTO LOPEZ, D.O. INTERNAL MEDICINE CLINIC,PA
Active
Organization
ROBERTO LOPEZ, D.O. INTERNAL MEDICINE CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO LOPEZ D.O. (PRESIDENT)
(972) 475-5598
Entity
Organization
Contact information
Practice address
9500 LAKEVIEW PKWY, SUITE: 100, ROWLETT, TX 75088-4557
(972) 475-5598
(972) 463-2321
Mailing address
9500 LAKEVIEW PKWY, SUITE: 100, ROWLETT, TX 75088-4557
(972) 475-5598
(972) 463-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2168
STATE LICENSE
TX
Enumeration date
06/30/2005
Last updated
08/22/2020
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