Individual
DR. JESSICA LYNN BUICKO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11920 ASTORIA BLVD STE 460, HOUSTON, TX 77089-6155
(713) 486-7650
(865) 328-0686
Mailing address
12923 LOTT AVE, HOUSTON, TX 77089-1705
(518) 229-7711
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME137796
FL
208600000X
Surgery Physician
Primary
U5081
TX
390200000X
Student in an Organized Health Care Education/Training Program
B200-432-87-867-0
FL
Other
Enumeration date
03/19/2013
Last updated
10/03/2023
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