Individual
SALVADOR LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7201 BROADWAY ST, SUITE 218, SAN ANTONIO, TX 78209-3743
(210) 413-9779
(210) 239-6868
Mailing address
7201 BROADWAY ST, SUITE 218, SAN ANTONIO, TX 78209-3743
(210) 413-9779
(210) 239-6868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N83R
BCBS
TX
05
—
035101701
—
TX
01
—
680015367
MEDICARE RAILROAD
TX
Enumeration date
11/07/2006
Last updated
07/28/2015
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