Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KRYSTAL LEANN LOPEZ
Active
Individual
KRYSTAL LEANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146937
NCCPA
—
Enumeration date
12/28/2017
Last updated
12/28/2017
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