Individual
MR. EDGAR FRANCISCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
7209 RIDGE CREEK DR, CORPUS CHRISTI, TX 78413-5030
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
137204
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8LV187
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
—
8LV328
XCITE SURGICAL LLC
TX
01
—
8LV349
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8LV377
BCBC - UNIVERSAL SURGICAL PARTNERS
TX
01
—
SA00625
TEXAS MEDICAL BOARD
TX
Enumeration date
11/15/2012
Last updated
02/17/2022
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