Individual
MICHELLE ANN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ STE 300, HOUSTON, TX 77046-0207
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10025159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8L22195
—
TX
Enumeration date
08/20/2008
Last updated
08/14/2013
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