Individual
JONATHAN ISAIAS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(296) 601-3963
Mailing address
3108 N 1ST LN, MCALLEN, TX 78501-9423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V9056
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
08/19/2025
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