Individual
DR. DANIEL ESTEBAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 ADDISON CT, MANSFIELD, TX 76063-5511
(217) 621-5907
Mailing address
5 ADDISON CT, MANSFIELD, TX 76063-5511
(217) 621-5907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N9592
TX
2086S0129X
Vascular Surgery Physician
Primary
MD482247
PA
2086S0129X
Vascular Surgery Physician
N9592
TX
2086S0129X
Vascular Surgery Physician
TL3102
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303099101
—
TX
Enumeration date
08/05/2007
Last updated
03/13/2024
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