Individual
DR. LINDA E. LOPEZ-ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 PLAZA DR, SUITE 2, MISSION, TX 78572-6045
(956) 580-4540
(956) 580-4542
Mailing address
PO BOX 339, MISSION, TX 78573-0006
(956) 580-4540
(956) 580-4542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J1298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133079704
—
TX
01
—
742764965
TAX IDENTIFICATION NUMBER
TX
Enumeration date
02/24/2006
Last updated
06/13/2008
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