Roberto Lopez, D.O. Internal Medicine Clinic,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J2168 Issued in TX

Legal business name

ROBERTO LOPEZ, D.O. INTERNAL MEDICINE CLINIC,PA

Practice address

9500 Lakeview Pkwy
Suite: 100
Rowlett, TX 75088-4557

Phone

(972) 475-5598

Fax

(972) 463-2321

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Lopez, D.O.

Title

President

Phone

(972) 475-5598

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295732790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 LAKEVIEW PKWY",
            "address_2": "SUITE: 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884557",
            "telephone_number": "972-475-5598",
            "fax_number": "972-463-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LAKEVIEW PKWY",
            "address_2": "SUITE: 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884557",
            "telephone_number": "972-475-5598",
            "fax_number": "972-463-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO LOPEZ, D.O. INTERNAL MEDICINE CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-475-5598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "J2168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Elaine Rice, PT, GCS
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• Bethany Kate Robertson, PA-C
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• Olivia Robles
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• Internal Medicine Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.