Provider Demographics
NPI:1184019234
Name:LOPEZ PINEIRO, MILDRED ALEXANDRA
Entity Type:Individual
Prefix:
First Name:MILDRED
Middle Name:ALEXANDRA
Last Name:LOPEZ PINEIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 WEST LOOP S STE 800
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3505
Mailing Address - Country:US
Mailing Address - Phone:713-661-4383
Mailing Address - Fax:713-661-4346
Practice Address - Street 1:6655 TRAVIS ST
Practice Address - Street 2:SUITE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1312
Practice Address - Country:US
Practice Address - Phone:713-500-8268
Practice Address - Fax:713-524-3432
Is Sole Proprietor?:No
Enumeration Date:2015-04-04
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3015207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology