# ALFREDO LOPEZ JR MD PA

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

## Provider details

- **NPI number:** 1588732127
- **Authorized official:** DR. ALFREDO LOPEZ JR. MD (PRESIDENT)
- **Authorized official phone:** (956) 687-6963

## Contact information

- **Practice address:** 2010 S CYNTHIA ST STE 110, MCALLEN, TX 78503-1387
- **Practice address phone:** (956) 687-6963
- **Practice address fax:** (956) 683-7185
- **Mailing address:** 2010 S CYNTHIA ST STE 110, MCALLEN, TX 78503-1387
- **Mailing address phone:** (956) 687-6963
- **Mailing address fax:** (956) 683-7185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K5339 | TX | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 12/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0031MA | BCBS | TX |
| 05 | — | 171585601 | — | TX |
