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Organization

MANUEL D LOPEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL D LOPEZ-LEYVA MD (OWNER/PHYSICIAN)
(915) 591-2922
Entity
Organization

Contact information

Practice address
10201 GATEWAY BLVD W, STE 210, EL PASO, TX 79925-7652
(915) 591-2922
Mailing address
10201 GATEWAY BLVD W, STE 210, EL PASO, TX 79925-7652
(915) 591-2922

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
12/14/2007
Last updated
01/28/2009
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