Individual
JERRY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA03921
TX
363AS0400X
Surgical Physician Assistant
Primary
PA03921
TX
Other
Enumeration date
03/24/2006
Last updated
03/06/2025
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