Individual
DR. LUIS ALFONSO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20642 STONE OAK PARKWAY, STE 105, SAN ANTONIO, TX 78258
(210) 650-0814
(210) 650-0926
Mailing address
20642 STONE OAK PARKWAY, STE 105, SAN ANTONIO, TX 78258
(210) 650-0814
(210) 650-0926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044322802
—
TX
05
—
044322803
—
TX
Enumeration date
09/26/2005
Last updated
08/09/2018
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