Organization
COMMUNITY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR LOPEZ DO (OWNER)
(915) 706-4065
Entity
Organization
Contact information
Practice address
3130 N LEE TREVINO DR STE 114, EL PASO, TX 79936
(915) 706-4065
(915) 706-7064
Mailing address
3130 N LEE TREVINO DR STE 114, EL PASO, TX 79936-2179
(915) 706-4065
(915) 706-7064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9752
TX
Other
Enumeration date
09/03/2010
Last updated
05/31/2018
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