Eleazar Lopez

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0086743 Issued in TX

Legal business name

ELEAZAR LOPEZ

Doing business as

Western Alliance Mobility

Practice address

1205 W Main St Ste 3
Rio Grande City, TX 78582-4017

Phone

(956) 488-9616

Fax

(956) 488-0572

NPI assigned

Apr 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eleazar Lopez

Title

Owner

Phone

(956) 488-9616

Specialties & licenses 1

Addresses

Other names 1

• Western Alliance Mobility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1114191483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W MAIN ST STE 3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824017",
            "telephone_number": "956-488-9616",
            "fax_number": "956-488-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W MAIN ST STE 3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824017",
            "telephone_number": "956-488-9616",
            "fax_number": "956-488-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEAZAR LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELEAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-488-9616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Alliance Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.