Individual
MR. ISMAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2310 N. ED CAREY DRIVE, SUITE 1A, HARLINGEN, TX 78550
(956) 428-5522
(956) 421-2759
Mailing address
5501 S EXPRESSWAY 77, HARLINGEN, TX 78550-3213
(956) 428-5522
(956) 421-2759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352905901
—
TX
Enumeration date
11/07/2005
Last updated
04/13/2016
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