Individual
DR. ESTEBAN R LOPEZ
Active
Individual
DR. ESTEBAN R LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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