Individual
SANTIAGO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, EMERGENCY MEDICINE EDUCATION OFFICE, HOUSTON, TX 77030-1608
(713) 873-7045
Mailing address
1504 TAUB LOOP, EMERGENCY MEDICINE EDUCATION OFFICE, HOUSTON, TX 77030-1608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q8547
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10049742
TX
Other
Enumeration date
04/15/2014
Last updated
06/07/2017
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