# MANUEL A. LOPEZ, MD, INC

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

## Provider details

- **NPI number:** 1366628745
- **Authorized official:** DR. MANUEL ANTONIO LOPEZ M.D. (PRESIDENT)
- **Authorized official phone:** (210) 845-1531

## Contact information

- **Practice address:** 18311 CABIN RD, SAN ANTONIO, TX 78258-4618
- **Practice address phone:** (210) 845-1531
- **Practice address fax:** (210) 845-1531
- **Mailing address:** 18311 CABIN RD, SAN ANTONIO, TX 78258-4618
- **Mailing address phone:** (210) 845-1531
- **Mailing address fax:** (210) 845-1531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | M2695 | TX | — |
| 207YS0123X | Facial Plastic Surgery Physician | M2695 | TX | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008
