Roxana Lopez, DDS,PA
Organization Active NPI General Practice Dentistry · Palmhurst, TX
NPI 1801075775 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1801075775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22473 (TX)
- Legal business name
- ROXANA LOPEZ, DDS,PA
- Practice address
- 4406 Sierra Dr
Palmhurst, TX 78573-0409 - Phone
- (956) 566-8233
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Roxana Lopez, DDS
- Title
- Dentist
- Phone
- (956) 566-8233
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 22473 | TX | Yes |
Addresses
Primary practice location
4406 Sierra Dr
Palmhurst, TX 78573-0409
Mailing address
2512 N. Conway Drive
Mission, TX 78572-0409
Phone (956) 483-0499
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649315672 | Medicaid | TX |
Other providers in Palmhurst, TX
- Marcela Ramirez
- Luis Angel Rios
- Adriana Rae Rodriguez
- Eric Rodriguez
- Patricia Ann Rodriguez
- Yahya Sardani
- Marissa Yvette Segura
- Toni Maria Sheppard
- Ashley Michelle Smitherman
- Southland Pharmacy #2
All providers in Palmhurst, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2007. 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.