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

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- **Entity:** Organization
- **Status:** Active
- **Other names:** south texas family medical center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356462998
- **Authorized official:** DR. ALEJANDRO LOPEZ M.D. (PHYSICIAN)
- **Authorized official phone:** (361) 664-8811

## Contact information

- **Practice address:** 201 MARIPOSA, ALICE, TX 78332-4177
- **Practice address phone:** (361) 664-8811
- **Practice address fax:** (361) 664-8992
- **Mailing address:** 201 MARIPOSA, ALICE, TX 78332-4177
- **Mailing address phone:** (361) 664-8811
- **Mailing address fax:** (361) 664-8992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 07/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00109N | BCBS | TX |
| 05 | — | 079902502 | — | TX |