Individual
MANUEL ANTONIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18322 SONTERRA PL, STE 107, SAN ANTONIO, TX 78258-4196
(830) 328-4206
(210) 966-9106
Mailing address
PO BOX 591819, STE 5104, SAN ANTONIO, TX 78259-0140
(210) 495-5771
(210) 495-0155
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M2695
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
M2695
TX
Other
Enumeration date
07/24/2006
Last updated
11/30/2021
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