Organization
LUIS ALFONSO LOPEZ, MD, PA
Active
Other names
Little Buddies Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A LOPEZ MD (PRESIDENT)
(210) 650-0814
Entity
Organization
Contact information
Practice address
20642 STONE OAK PARKWAY, STE 105, SAN ANTONIO, TX 78258
(210) 650-0814
(210) 650-0926
Mailing address
20642 STONE OAK PARKWAY, STE 105, SAN ANTONIO, TX 78258
(210) 650-0814
(210) 650-0926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K1530
TX
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732737-01
—
TX
05
—
1732737-02
—
TX
05
—
173273703
—
TX
05
—
173273704
—
TX
Enumeration date
09/06/2007
Last updated
08/09/2018
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