Individual
EDUARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3913
(210) 297-4000
Mailing address
1427 POLYDORA, SAN ANTONIO, TX 78245-4739
(210) 364-0078
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
198004
TX
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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