Benny Joe Lopez
Individual provider Active NPI Assisted Living Facility · Poteet, TX
NPI 1548726953 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1548726953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 307105 (TX)
- Practice address
- 309 Oak Creek Ests
Poteet, TX 78065-4019 - Phone
- (830) 276-4248
- NPI assigned
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307105 | TX | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Creek Estate Alf | Assisted Living Facility | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 307105 | TX | Yes |
Addresses
Primary practice location
309 Oak Creek Ests
Poteet, TX 78065-4019
Mailing address
309 Oak Creek Ests
Poteet, TX 78065-4019
Other providers in Poteet, TX
- Ariana Goolsby
- Ray Guerra
- Jessica Marie Holley
- Lauren Liliuokalani Kerry
- Lighthouse Home Care, Inc.
- Mario Perez DO PA
- Jolene Tai McBee
- Jeremy Allen Means
- Charles Nedock
- NPS Health LLC
All providers in Poteet, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.