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Organization
LOPEZ SEPULVEDA PRIMARY CARE PLLC
Active
Organization
LOPEZ SEPULVEDA PRIMARY CARE PLLC
Active
Other names
Clinica tu Salud
Organization subpart
No
Provider details
NPI number
Authorized official
JAXEL LOPEZ SEPULVEDA MD (PHYSICIAN/OWNER)
(972) 887-3235
Entity
Organization
Contact information
Practice address
245 E GRAUWYLER RD, SUITE 122, IRVING, TX 75061-2639
(972) 887-3235
(972) 887-3197
Mailing address
245 E GRAUWYLER RD STE 122, IRVING, TX 75061-2639
(972) 887-3235
(972) 887-3197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q5020
TX
Other
Enumeration date
12/22/2016
Last updated
11/14/2023
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