Phillip A Lopez

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

694149 Issued in TX

Practice address

8610 N New Braunfels Ave
San Antonio, TX 78217-6370

Phone

(210) 804-0193

Fax

(210) 610-8782

NPI assigned

Jul 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1801413950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CROWN HOLW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511719",
            "telephone_number": "210-823-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176370",
            "telephone_number": "210-804-0193",
            "fax_number": "210-610-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "694149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Lopez, LPC
• Lopez, Newman & Associates, PLLC
• Odaliz Ivette Lopez
• Patricia Lopez
• Patricia E. Lopez, D.D.S.
• Ralph Ray Lopez, LCSW
• Raquel Crystal Lopez, D.C.
• Raymond S Lopez
• Rebecca Elaine Lopez, PHD, BCBA, LBA
• Rene Lopez, M.D.

• Pediatric Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.