Individual
DR. ALLISON J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0060
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q7735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375386501
—
TX
05
—
375386502
—
TX
Enumeration date
03/19/2012
Last updated
04/13/2020
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