Individual
DR. JAIME LOPEZ MAYORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BROOKLYN AVE., STE 150, SAN ANTONIO, TX 78212-4815
(210) 212-4114
(210) 212-4012
Mailing address
1200 BROOKLYN AVE, STE 150, SAN ANTONIO, TX 78212-4803
(210) 212-4114
(210) 212-4012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J9199
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
J9199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117142303
—
TX
Enumeration date
05/31/2005
Last updated
02/04/2026
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