Individual
DR. ESTEBAN R LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7108 BANDERA RD, SAN ANTONIO, TX 78238-1203
(210) 680-2400
(830) 310-8156
Mailing address
7108 BANDERA RD, SAN ANTONIO, TX 78238-1203
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
L1114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159539917
—
TX
01
—
1S4520
MEDICARE
TX
Enumeration date
02/06/2006
Last updated
12/11/2023
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