Individual
BRYAN BASULTO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
18500 KATY FWY, HOUSTON, TX 77094-1110
(305) 335-0089
Mailing address
29310 PRAIRIE ROSE CT, KATY, TX 77494-7384
(305) 335-0089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
24-361
WI
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us