Individual
FRANK LOPEZ COLUNGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3840 W DAVIS ST, CONROE, TX 77304-1838
(936) 521-2630
Mailing address
3840 W DAVIS ST, CONROE, TX 77034-7724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G4929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122505405
—
TX
01
—
8R6722
BCBS
TX
Enumeration date
07/11/2006
Last updated
03/17/2018
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