Organization Active NPI

Marjorie F. Lopez

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1649394255
Registry record updated Apr 4, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0064164 Issued in TX
Legal business name
MARJORIE F. LOPEZ
Practice address
1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252
Phone
(210) 923-9992
Fax
(210) 695-9015
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Mrs. Marjorie Flores Lopez
Title
Owner
Phone
(210) 923-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0064164 TX Primary

Addresses

Primary practice location

1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252

Mailing address

1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252
Phone (210) 923-9992

Other identifiers 1

IdentifierTypeStateIssuer
163533602MedicaidTX

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

1900 Pleasanton Rd
Ste 2
San Antonio, TX 78221
Phone (210) 923-9992

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1649394255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PLEASANTON RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211252",
            "telephone_number": "210-923-9992",
            "fax_number": "210-695-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PLEASANTON RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211252",
            "telephone_number": "210-923-9992",
            "fax_number": "210-695-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE F. LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-923-9992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0064164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163533602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.