Individual
JULIO A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-4584
(956) 968-7846
Mailing address
1311 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-4584
(956) 968-7846
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E6964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121450402
—
TX
Enumeration date
04/25/2006
Last updated
06/24/2010
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