Active NPI
Paola Larios Lopez, PA
- Physician Assistant
- Weslaco, TX
National Provider Identifier
1922100155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04238
- Practice address
- 1408 E 8TH St
Weslaco, TX 78596-6639 - Phone
- (956) 369-9209
- Fax
- (956) 968-0481
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04238 | TX | Primary |
Addresses
Primary practice location
1408 E 8TH St
Weslaco, TX 78596-6639
Mailing address
1116 Sunrise LN
Mission, TX 78574-3679
Phone (956) 369-9209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA04238 | Other | TX | PA LIC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04238 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1922100155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 SUNRISE LN",
"city": "MISSION",
"state": "TX",
"postal_code": "785743679",
"telephone_number": "956-369-9209",
"fax_number": "956-968-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 E 8TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966639",
"telephone_number": "956-369-9209",
"fax_number": "956-968-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PAOLA",
"middle_name": "LARIOS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LIC.",
"identifier": "PA04238",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.