Individual provider Active NPI

Vanessa Lopez

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1679247787
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1049199 Issued in TX
Practice address
401 W Centerville Rd Ste 1
Garland, TX 75041-5400
Phone
(972) 840-6500
NPI assigned
Aug 3, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 856810 TX
Family Medicine Physician 207Q00000X 1049199 TX Primary

Addresses

Primary practice location

401 W Centerville Rd Ste 1
Garland, TX 75041-5400

Mailing address

822 Via del Sur
Mesquite, TX 75150-4312
Phone (972) 974-8216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926002970 TX Practitioner - Nurse Practitioner 5698270858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4125 Broadway Blvd
Suite 120C
Garland, TX 75043-2500

5584 N Shiloh Rd
Garland, TX 75044-6614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1049199TXMDFamily Medicine Physician
856810TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Health & Wellness Center PLLC Single Specialty CurrentSince Aug 29, 2025 Accepting new patients
Centro de Pediatria Hispana, PA Single Specialty PastSince Aug 8, 2021 Accepting new patients

Locations

401 W Centerville Rd
Ste 1
Garland, TX 75041
Phone (972) 840-6500

4125 Broadway Blvd
Ste 120C
Garland, TX 75043
Phone (972) 303-0861

3705 Lakeview Pkwy
Rowlett, TX 75088
Phone (469) 400-9344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1679247787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 VIA DEL SUR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504312",
            "telephone_number": "972-974-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CENTERVILLE RD STE 1",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415400",
            "telephone_number": "972-840-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "856810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1049199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.