Individual provider Active NPI

Dulce Jeannyne Lopez Flores

  • Physician Assistant
  • West Lake Hills, TX
National Provider Identifier
1467007310
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13259 Issued in TX
Practice address
4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498
Phone
(312) 925-8574
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13259 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498

Mailing address

4407 Bee Caves Rd Ste 111
West Lake Hills, TX 78746-6498
Phone (312) 925-8574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13259TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1467007310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 111",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "312-925-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 111",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "312-925-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ FLORES",
        "first_name": "DULCE",
        "middle_name": "JEANNYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.